The revolution in cancer care cannot happen just in the laboratory—it must also take place among stakeholders who must agree on new models for financing very expensive life-saving therapies. The new issue of Evidence-Based Oncology™ looks at the people trying to change the way we pay for cures and their work.
CRANBURY, N.J.—Headlines about cancer care refer to a revolution—one-time treatments bring patients who had lost hope back from the brink, and some go on to live long, meaningful lives.
But the gene-based therapies that are changing care come at a cost. Personalized chimeric antigen receptor T-cell treatments start at $393,000 just for the therapy, and the full process can top $1 million. Our current healthcare financing system wasn’t built for this, and yet, more of these cures will be coming.
The current issue of Evidence-Based Oncology™ (EBO), a publication of The American Journal of Managed Care®, looks at the people who are shaking up the old healthcare financing paradigms to make way for these new one-time cures.
The lead cover story looks at the center at the Massachusetts Institute of Technology called NEWDIGS, which has brought together key stakeholders to develop financing structures that are hybrids of reinsurance, specialty pharmacy and biotechnology—and some of these ideas have been seen in the market already.
Also in the current issue:
As EBO Editor-in-Chief Joseph Alvarnas, MD, notes in his editorial, the issue covers what’s really happening in financing on the front lines of figuring out how to pay for cancer care.
“The road to more financially sustainable care delivery will not be achieved through changes to the evaluation and management coding system or repeating platitudes about the importance of value-based care,” he said.
For the full issue, visit ajmc.com.
About The American Journal of Managed Care®
The American Journal of Managed Care® (AJMC®) is a peer-reviewed, Medline-indexed journal that keeps readers on the forefront of health policy by publishing research relevant to industry decision makers as they work to promote the efficient delivery of high-quality care. AJMC.com is the essential website for managed care professionals, distributing industry updates daily to leading stakeholders. Other titles in the AJMC® family include The American Journal of Accountable Care® and two evidence-based series, Evidence-Based Oncology™ and Evidence-Based Diabetes Management™. These comprehensive offerings bring together stakeholder views from payers, providers, policymakers and other industry leaders in managed care. To order reprints of articles appearing in AJMC® publications, please contact Gil Hernandez at 609-716-7777, ext. 139.
Contacts
AJMC® Media
Alexandra Ventura, 609-716-7777, ext. 121
aventura@mjhassoc.com
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
The Federal Trade Commission's (FTC's) vote to ban most employers from issuing and enforcing noncompete clauses could have varying impacts on the health care workforce; federal regulators vastly under-enforced antitrust laws in the hospital sector during the last 2 decades, resulting in increased health costs; the FDA recently found genetic evidence of the H5N1 bird flu virus in pasteurized commercially purchased milk.
Read More
What We’re Reading: Abortion Privacy Rules; Alzheimer Drug Hurdles; Nursing Home Staffing Overhaul
April 23rd 2024New health privacy rules aim to protect patients and providers in an evolving abortion landscape; some physicians express concerns about efficacy, risks, and entrenched beliefs in treating Alzheimer disease; CMS addresses longstanding staffing deficits in nursing homes.
Read More