Introduction
A financial crisis in health care
Drivers of health care costs
Cancer care costs
Financial burden on patients with cancer
Questionable value
Current challenges
Inappropriate incentives
Unrealistic expectations
Overuse and misuse of interventions
Variable care, lack of best practices, and an inadequate evidence base
Legal and regulatory issues
Assessing value
Possible solutions
Patient and clinician communication and education
Best practices in cancer care
Evidence base for clinical practice and reimbursement
Financial incentives aligned with affordable, high-quality cancer care
Delivery system and reimbursement changes
Wrap up.