Cancer clinics close; result is fewer providers, higher costs in hospitals

“We continue to see consolidation in the cancer care delivery landscape, especially in terms of clinics being closed and practices being acquired by, or affiliating with, hospitals. A recent analysis … confirmed this consolidation by reporting that physician-owned community oncology clinics administered 87% of the chemotherapy in 2005 (analyzing Medicare fee-for-service data). By the end of 2011, chemotherapy administration by community oncology clinics fell to 67%. … Medicare pays $6,500 more per patient (annualized) for chemotherapy administered in the hospital outpatient setting, and cancer patients on Medicare pay $650 more.” — Community Oncology Practice Impact Report, The Changing Landscape of Cancer Care June 25, 2013