As the panelists continue discussing how healthcare reform will affect cancer therapy, the experts believe that although cost of therapy is a concern when treating patients, it does not form the entire equation that should be used when considering a treatment plan. Cost is an additional factor that should be assessed when determining value.
Daniel J. George, MD, explains that when determining the value of a treatment option, such as immunotherapy, medical professionals need to use an equation of quality over cost.
Unfortunately, Dr George fears that practitioners may feel that utilizing more expensive therapies due to improved outlooks on quality for their patients may cause practitioners to feel as though they are being penalized. Under this new model, it is important that medical professionals understand that the lowest cost should not be a deciding factor when considering immunotherapy treatment.
Oncologists will need to become comfortable with this new model, explains Michael Kolodziej, MD. In addition to reviewing data, oncologists will need to practice transparency, fairness, shared decision making, and consumerism, which are all factors that will affect the results of the new healthcare system.
Health Equity and Access Weekly Roundup: May 4, 2024
May 4th 2024This week, the Center on Health Equity and Access highlights a variety of gaps that exist in health care, spanning women's health, the rising rate of metabolic disease, and policy for LGBTQ+ and immigrant populations. The consensus among featured experts points to comprehensive care models.
Read More
Examining Low-Value Cancer Care Trends Amidst the COVID-19 Pandemic
April 25th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the April 2024 issue of The American Journal of Managed Care® about their findings on the rates of low-value cancer care services throughout the COVID-19 pandemic.
Listen
A new federal rule will enable thousands of immigrants in the Deferred Action for Childhood Arrivals (DACA) program to obtain health care through the Affordable Care Act; a forthcoming CMS rule is expected to lower home-based care wait times and raise caregiver wages; the HHS Office for Civil Rights has finalized 2 rules that strengthen the ACA’s health care discrimination ban.
Read More
Navigating Health Policy in an Election Year: Insights From Dr Dennis Scanlon
April 2nd 2024On this episode of Managed Care Cast, we're talking with Dennis Scanlon, PhD, the editor in chief of The American Journal of Accountable Care®, about prior authorization, price transparency, the impact of health policy on the upcoming election, and more.
Listen
Shelly Lanning on How Employers Can Reduce Costs by Bridging Gaps in Women's Health Care
May 3rd 2024In a presentation at the Greater Philadelphia Business Coalition on Health Women’s Health Summit, Shelly Lanning, cofounder and president of Visana Health, addressed the need for comprehensive approaches in women’s health care and their coverage options.
Read More