Nancy L. Keating, MD, MPH, is Professor of Health Care Policy and Medicine at Harvard Medical School and a primary care physician at Brigham and Women’s Hospital. Dr. Keating’s research examines provider, patient, and health system factors that influence the delivery of high-quality care for individuals with cancer.
In this talk, Dr. Keating will review various strategies for implementing alternative payment models for oncology care, share findings from the CMS Oncology Care Model evaluation, and discuss potential future strategies for moving away from fee-for-service payment systems for oncology care.
Dr. Keating is currently Clinical Lead of the Evaluation Team for the Center for Medicare and Medicaid Service’s Oncology Care Model, an alternate payment and delivery model for oncology practices administering chemotherapy. The evaluation is assessing total costs of care, quality of care, health care utilization, patients’ experiences, and outcomes for patients in approximately 200 participating practices compared with non-participating practices. In other work, she is studying the impact of financial integration of oncology practices into systems and hospitals and its impact on care delivery. In ongoing work, she is assessing the reliability and consistency of quality and equity measurement across oncology practices caring for individuals with cancer. Previous work has examined patient, physician, and health system factors contributing to the variations in the intensity of end-of-life (EOL) care for individuals with advanced cancer, and she has recently completed pilot testing of interventions to improve patients’ understanding of the goals of chemotherapy and to improve patients’ discussions with their clinicians about their preferences and goals of care.
Dr. Keating received her MD degree from the University of Chicago Pritzker School of Medicine, and her MPH degree from the Harvard TH Chan School of Public Health. In 2022, she was awarded the John M. Eisenberg Award for Career Achievement in Research by the Society of General Internal Medicine. She is an elected member of the American Society for Clinical Investigation and the Association of American Physicians. Dr. Keating has been continuously funded by the National Institutes of Health as principal investigator for more than twenty years. She currently serves as an Associate Editor at the Journal of the National Cancer Institute, a member of the editorial board of the Journal of Geriatric Oncology, and a member of the National Comprehensive Cancer Center Senior Oncology Guideline Panel. She previously completed 3-year terms on the Council of the Society of General Internal Medicine and the American Society of Clinical Oncology Clinical Practice Guidelines Committee.
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