Active Surveillance for Prostate Cancer under the Patient Protection and Affordable Care Act

Lindsay Yuh, Marc Dall'Era, David F. Penson, Christopher P Evans

Research output: Contribution to journalArticle

Abstract

Introduction: Active surveillance is the standard alternative to immediate curative intervention inmen with low risk prostate cancer. It avoids unnecessary treatments while allowing for curative intervention in cases that progress with time and it has added total cost savings without compromising outcomes compared to immediate treatment. Methods: The 3 foci of the PPACA are to increase access to health care, improve quality of health care delivery and decrease costs. Results: Multiple aspects of the PPACA are likely to impact the choice and delivery of active surveillance for prostate cancer management. Conclusions: Programs including value based purchasing, episode based payments and accountable care organizations as well as increasing use of electronic health records may help promote the delivery of quality, efficient care for Americans. Active surveillance fits well in this model and becomes an attractive option for managing prostate cancer in the new health care environment.

Original languageEnglish (US)
Pages (from-to)154-159
Number of pages6
JournalUrology Practice
Volume2
Issue number4
DOIs
StatePublished - Jul 1 2015

Fingerprint

Patient Protection and Affordable Care Act
Prostatic Neoplasms
Quality of Health Care
Value-Based Purchasing
Accountable Care Organizations
Delivery of Health Care
Health Services Accessibility
Cost Savings
Electronic Health Records
Costs and Cost Analysis

Keywords

  • Delivery of health care
  • Patient protection and affordable care act
  • Politics
  • Prostate
  • Prostatic neoplasms

ASJC Scopus subject areas

  • Urology

Cite this

Active Surveillance for Prostate Cancer under the Patient Protection and Affordable Care Act. / Yuh, Lindsay; Dall'Era, Marc; Penson, David F.; Evans, Christopher P.

In: Urology Practice, Vol. 2, No. 4, 01.07.2015, p. 154-159.

Research output: Contribution to journalArticle

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