Oncology treatment is often costly and occurs over a number of months or years.  Restructuring delivery to improve quality and control costs can be achieved through redesigned delivery arrangements and shifts in payment systems. Incentives driven by payment mechanisms allow a shift away from reliance on fee-for-service and case-based payments such as DRGs that reward volume of care, to more mixed arrangements grounded in bundled payments that allow for flexibility but incentivize continuity of care and quality outcomes. This presentation was delivered by Aceso Global CEO, Maureen Lewis, to the Agência Nacional de Saúde Suplementar (ANS), the National Regulatory Agency for Private Health Insurance and Plans in Brazil, in February 2017.