Articles

Significant gains in cancer research and prevention have led to longer survival, improved quality of life, and decreased disease burden. The 2015 annual report on “Clinical Cancer Advances” from the American Society of Clinical Oncology (ASCO) outlines the biggest advances made in oncology, and for the first time designates one cancer as the Advance of the Year, as well as emphasizing the ongoing challenge of value-based care.
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Hollywood, FL—Value-based decision-making at the bedside can be fraught with obstacles, with no clear agreement on what constitutes value, and for whom. In addition, the myriad insurance plans preclude uniform treatment strategies, despite clinical pathways and guidelines intended to reduce variation in care. Finally, value is becoming more difficult to achieve in oncology as each benefit becomes more expensive, with the cost of new therapies outpacing inflation.
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Cost Is Crucial When Evaluating Treatment
Dr. Bosserman explains that physicians must take cost and outcomes into consideration when evaluating treatment options.
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Value-Based Concerns - What Matters?
Linda Bosserman, MD, FACP, talks about the value-based concerns of physicians in the US, including outcomes, survival, toxicity, and cost to patient.
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Approaches to Alleviating Costs for Patients and Payers
According to Dr. Stainthorpe, the cost of care can be alleviated for patients and providers using imaginative reimbursement approaches such as risk shares and managed entry schemes that pay by outcomes.
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Value-Based Concerns of European Oncologists
Dr. Stainthorpe sheds light on the value-based concerns of oncologists in Europe, which include patient benefit, low side effects, and treatment options.
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Keeping Cost Out of the Drug Approval Debate
Andrew Stainthorpe, PhD, PASLU, NICE, talks about why the FDA should not take drug cost into account when weighing the approval of expensive medications.
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New Conversations About Costs of Cancer Care
According to Dr. Mullins, patients are having new conversations with their physicians about the cost of care and their ability to pay for treatment. He points out that some patients are not taking their medications because they cannot afford them, and says that social services need to be established to help these individuals.
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Providing Patients with Cost Information
Dr. Mullins emphasizes that the role of oncologists is changing, and they should recognize that treatment cost is an important consideration for patients. Having cost information available for patients is one way oncologists can help patients make decisions about their care.
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