Value-based care within insurance design utilizes evidence-based medicine as a means of defining high-value versus low-value diagnostics and treatments. The goals of value-based care are to shift spending and coverage toward high-value care and reduce the use of low-value practices. Within oncology, several value-based methods have been proposed and implemented. We review value-based care being used within oncology, including defining the value of oncology drugs through frameworks, clinical care pathways, alternative payment models including the Oncology Care Model, value-based insurance design, and reducing low-value care including the Choosing Wisely initiatives.

价值为基础的护理中的保险设计采用循证医学的定义高的手段价值与低价值的诊断和治疗。基于价值的护理的目标是将支出和覆盖范围转向高价值护理，并减少对低价值实践的使用。在肿瘤内，已经提出并实施了几种基于价值的方法。我们回顾价值为基础的保健所内使用的肿瘤，包括定义价值的肿瘤通过框架，临床护理途径，替代支付模型（包括肿瘤护理模型），基于价值的保险设计以及减少低价值护理（包括“明智选择智慧”计划）来开发药物。