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Stakeholder Voice in Developing Oncology Payment Models
In this opening segment of this one-on-one interview series, a part of the Oncology Stakeholders Summit, Spring 2015, Michael Kolodziej, MD, and Ted Okon, MBA, discuss which stakeholders’ opinions matter most in the development of improved oncology payment models.
Mr Okon, executive director of the Community Oncology Alliance, says that the most crucial voice during the development of a payment program is the patient’s. Additionally, he discusses why insight from providers (ie, individual practitioners, group practices, and hospitals), nurses, private payers, pharmaceutical companies, and medical device manufacturers is important.
It is important to consider the opinions of payers, providers, and patients, remarks Dr Kolodziej, a national medical director of oncology strategy for Aetna. He adds that in order for a payment model to be successful, there needs to be “harmonization” among these stakeholders.
Mr Okon also discusses the progress of the State Innovation Models initiative by the Center for Medicare & Medicaid Innovation, and shares his concerns about the program’s potential in oncology. Although substantial monetary investments have been made in these programs, Mr Okon notes that not much information is available on how these programs are doing. Mr Okon explains that he feels a lot of innovation may be possible at the state level, and he would like to see more transparency and more accountability in the near future.
Watch our related Peer Exchange, Oncology Stakeholders Summit, Spring 2015
New Data Update Myasthenia Gravis Outcomes for Patients in Australia
December 3rd 2023Patients living with myasthenia gravis in Australia were surveyed their demographic information, clinical features of the autoimmune disease, adverse effects from treatment, and quality of life. Outcomes were compared against 2011 data from Australia and 2019 data from the United States.
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Oncology Onward: A Conversation With Thyme Care CEO and Cofounder Robin Shah
October 2nd 2023Robin Shah, CEO of Thyme Care, which he founded in 2020 with Bobby Green, MD, president and chief medical officer, joins hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, to discuss his evolution as an entrepreneur in oncology care innovation and his goal of positively changing how patients experience the cancer system.
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Health Equity and Access Weekly Roundup: December 2, 2023
December 2nd 2023The Center on Health Equity and Access highlights the most recent updates in the realm of health equity, including news, research findings, and initiatives focused on mitigating health care disparities and enhancing overall access to quality care.
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Insufficient Data, Disparities Plague Lung Cancer Risk Factor Documentation
September 24th 2023On this episode of Managed Care Cast, we speak with the senior author of a study published in the September 2023 issue of The American Journal of Managed Care® on the importance of adequate and effective lung cancer risk factor documentation to determine a patient's eligibility for screening.
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Gaps in Access to Cancer Care Resources May Contribute to Racial, Ethnic Disparities
December 1st 2023Researchers found that core oncology services were less likely to be available at hospitals serving racial and ethnic minority groups compared with other hospitals in the United States.
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