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Topics
The National Cancer Policy Forum convened a public workshop to examine the costs of cancer drugs and the impact of drug costs on cancer patients. The cost of new cancer drugs has escalated rapidly, and many cancer patients face large out-of-pocket expenses. Workshop presentations and discussions covered recent trends in oncology care, the paradoxes of cancer drug reimbursement policies, and policy options to address current challenges.
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Workshop
ยท2014
In recent years, patients' out-of-pocket costs for cancer care have been rising rapidly. These costs include health insurance deductibles, coinsurance, and copayments for covered services, as well as services that are not covered by insurance. Many cancer patients are especially vulnerable financial...
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Description
An ad hoc committee will plan and host a 1.5-day public workshop that will feature panel discussions and invited presentations. Workshop participants will examine patient access to cancer therapies, with emphasis on cancer drug pricing, inflation in the cost of cancer drugs, differences among practice settings, and insurance benefit design. Participants will be invited to discuss topics that may include:
- Structural factors influencing drug pricing, such as patents (regulated monopolies), the role of health insurance, and information asymmetries between patients and providers;
- Policy factors, such as cancer drug reimbursement and cost-sharing policies (e.g. co-pays and coinsurance), Medicare reimbursement policies and the legislative limitations on those policies, and state laws prohibiting restrictions on oncology drug prescribing;
- Cancer drug distribution channels and access programs, such as the 340B program and copay assistance programs; and
- Changing economics of oncology practice and the historic reliance on office-based drug prescribing for revenues.
The committee will develop the agenda for the workshop sessions, select and invite speakers and discussants, and moderate the discussions. An individually authored workshop summary will be prepared by a designated rapporteur based on the information gathered and the discussions held during the workshop in accordance with institutional policy and procedures.
Contributors
Sponsors
American Association for Cancer Research
American Cancer Society
American Society for Radiation Oncology
American Society of Clinical Oncology
American Society of Hematology
Association of American Cancer Institutes
C-Change
Centers for Disease Control and Prevention (CDC)
CEO Roundtable on Cancer
EMD Serono
Helsinn Therapeutics (U.S.), Inc.
ION Solutions
LiveSTRONG Foundation
National Comprehensive Cancer Network
Novartis Oncology
Oncology Nursing Society
Sanofi
Staff
Sharyl Nass
Lead
Patrick Burke
Celynne Balatbat
Major units and sub-units
Center for Health, People, and Places
Lead
Health and Medicine Division
Lead
Institute of Medicine
Lead
Board on Health Care Services
Lead
Health Care and Public Health Program Area
Lead