AJMC December 10, 2025
This supplement was sponsored by Johnson & Johnson.
ABSTRACT
Value-based payment (VBP) models are increasingly adopted in oncology to promote high-quality, cost-effective, and patient-centered care. To identify essential characteristics of effective oncology VBP models, a modified Delphi process was conducted with 9 experts representing diverse oncology organizations. Panelists participated in 2 survey rounds and an in-person discussion, evaluating the importance and feasibility of key VBP model elements using Likert scales. Results revealed consensus on the need for patient-centered care, robust risk adjustment, and oncology-specific outcome measures. While pay-for-performance and enhanced monthly payment models were seen as feasible and widely used, they were also criticized for outdated metrics, insufficient reimbursement, and high administrative burden. High-impact models such as dual-sided risk and...
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