Oncology Rounds

The latest news and research on cancer care from the Oncology Roundtable.

Your secret weapon for unlocking outpatient drug reimbursements? Pharmacists.

by Gina Lohr and Jessica Preston March 11, 2019

As drug costs grow, health systems must ensure they receive adequate reimbursement for outpatient drugs. A single regimen of chemotherapy can cost tens of thousands of dollars, so every unpaid insurance claim cuts into system margins.

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How Sharp HealthCare is improving access to genetic counseling

Deirdre Saulet February 11, 2019

Editor's note: This blog post was updated on February 12, 2019.

Over the past decade, the field of genetics has rapidly evolved, leading to more testing options and more people who would benefit from these tests. For providers, it is more critical—and difficult—than ever to stay on top of emerging evidence and guidelines. This increased complexity also means that organizations must make the most of valuable, and often limited, genetic counselor expertise.

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Going beyond puppy photos: How to use Facebook to accrue clinical trial patients

by Deirdre Saulet and Kate Wister January 28, 2019

Social media is no longer just a way to connect with old high school classmates or distant family members—it can also be a great opportunity to connect with patients and colleagues online. A recent OBR article highlights how hematologists are expanding their digital toolbox and using social media to facilitate education, increase program awareness, and even recruit patients for clinical trials.

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Ready for 2019? Catch up on our most popular oncology reads from 2018.

by Deirdre Saulet and Sarah Adam January 7, 2019

2018 was another eventful year in the oncology space—from regulatory changes to precision medicine innovations to evolving payment models. Read on to recap the top stories we covered in 2018.

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Cancer poised to unseat heart disease as the leading cause of death in the US by 2020

by Deirdre Saulet and Mallory Kirby December 20, 2018

Heart disease has held the unfortunate title of leading cause of death in the United States for nearly a century—since 1921. With declining death rates from heart disease and an aging population, that is about to change: According to research from CDC, cancer will surpass heart disease as the leading cause of death in the United States by 2020. Across a thirteen year span in the United States, counties with cancer as the leading cause of death doubled, from about two in every 10 counties during 2003 to four in every 10 counties in 2015.

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Cone Health increases lung screening volumes nearly five-fold by expanding navigation

Deirdre Saulet December 4, 2018

Navigators are an increasingly essential component of a comprehensive, patient-centered cancer program. However, given their expansive—and often poorly defined—role, it can be difficult to track their direct impact on quality and financial outcomes. But that's exactly what Cone Health Cancer Center-Alamance Regional in North Carolina has done since using Oncology Roundtable resources to help them add a second lung cancer navigator. Keep reading to see how Cone Health made the case and tracked the downstream impact—to the tune of an estimated $750,000 in additional revenue per year.

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4 takeaways for cancer programs from the 2019 HOPPS final rule and HHS announcements

Deirdre Saulet November 19, 2018

October and November have been action-packed when it comes to oncology reimbursement news. In the span of two weeks, CMS released its final regulations for payments to hospital outpatient departments (HOPDs), and HHS announced its intent to create mandatory payment reform pilots for Part B drug pricing and radiation oncology. This year's HOPPS rule is relatively uneventful compared with last year, but there are still significant changes every program needs to be aware of, in addition to the implications of the new payment reform pilots.

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Your 4-step guide to prepare for a mandatory radiation oncology bundle

Deirdre Saulet November 13, 2018

Way back in 2015, the Patient Access and Medicare Protection Act set the stage for a radiation oncology alternative payment model (APM). It froze payments for freestanding radiation therapy services until January 1, 2019, at which point CMS, Congress, and the provider community were supposed to agree to an alternative APM.

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