- Center on Health Equity and Access
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- Value-Based Care
Challenges in the Management of Oral Oncolytics
During this segment, Bruce Feinberg; DO; Scott Gottlieb, MD; Brian Kiss, MD; and Michael Kolodziej, MD, highlight the issues that payers are encountering with the increased utilization of oral oncolytics and discuss how these issues are being addressed.
Dr Feinberg remarks that oral oncolytics are associated with high costs, which affects adherence, medication therapy management, and overall cost.
Payers are trying to manage these issues by splitting out “specialty pharmacy” medications and working with vendors to negotiate better prices, comments Dr Kiss. However, payment systems are becoming more complex and it is challenging to ensure that oncologists know to which types of pharmacies they should refer their patients for savings.
Professionals are recognizing an increased amount of drug wastage in the handling of these therapies, adds Dr Kiss. For example, many oral oncolytic prescriptions can be ordered via mail. Patients receive a large supply of their oral oncolytic; however, they may need to stop taking the medication due to tolerance issues.
Dr Kolodziej and Dr Gottlieb discuss the systems that pharmacy benefit managers have established in an attempt to resolve these issues.
Lack of Mutations Associated With Favorable Prognosis in MPN-U
April 25th 2024While the Dynamic International Prognostic Scoring System and bone marrow blasts may predict overall survival, the lack of certain mutations is also associated with a better prognosis for myeloproliferative neoplasm, unclassifiable (MPN-U).
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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.
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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.
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Data Back Neoadjuvant Combo vs Chemo Alone for Early-Stage NSCLC
April 24th 2024For patients with early-stage non–small cell lung cancer (NSCLC), combining neoadjuvant immune checkpoint inhibitors and platinum-based chemotherapy improves 2-year outcomes over chemotherapy alone, suggest findings of an extensive literature review and meta-analysis.
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Downward Morbidity, Mortality Trends Discovered Among Patients With Ovarian Cancer, Liver Metastases
April 24th 2024This study indicates a declining trend in morbidity and mortality rates among patients with ovarian cancer and liver metastases, highlighting the efficacy of surgery and chemotherapy in improving survival outcomes.
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