How Should We Intervene on the Financial Toxicity of Cancer Care? One Shot, Four Perspectives.

Am Soc Clin Oncol Educ Book 2017 ;37:35-39

From the Duke Cancer Institute, Durham, NC; UnitedHealth Group, Minneapolis, MN; Pfizer, New York, NY; National Coalition for Cancer Survivorship, Washington, DC; Memorial Sloan Kettering Cancer Center; New York, NY.

The median price of a month of chemotherapy has increased by an order of magnitude during the past 20 years, far exceeding inflation over the same period. Along with rising prices, increases in cost sharing have forced patients to directly shoulder a greater portion of those costs, resulting in undue financial burden and, in some cases, cost-related nonadherence to treatment. What can we do to intervene on treatment-related financial toxicity of patients? No one party can single-handedly solve the problem, and the solution must be multifaceted and creative. A productive discussion of the problem must avoid casting blame and, instead, must look inward for concrete starting points toward improvement in the affordability and value of cancer care. With these points in mind, the authors-representatives from the pharmaceutical industry, insurance providers, oncologists, and patient advocacy-have each been asked to respond with a practical answer to the provocative hypothetical question, "If you could propose one thing, and one thing only, in terms of an action or change by the constituency you represent in this discussion, what would that be?"

Download full-text PDF

Source
http://dx.doi.org/10.1200/EDBK_174893DOI Listing
December 2017
14 Reads

Publication Analysis

Top Keywords

financial toxicity
8
costs undue
4
cancer care
4
care points
4
portion costs
4
undue financial
4
financial burden
4
points improvement
4
burden cases
4
improvement affordability
4
points mind
4
affordability cancer
4
greater portion
4
patients directly
4
industry insurance
4
forced patients
4
insurance providers
4
pharmaceutical industry
4
directly shoulder
4
mind authors-representatives
4

Similar Publications