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Levine Cancer Institute Financial Toxicity Tumor Board: A Potential Solution to an Emerging Problem

PURPOSE: Fiscal distress or “financial toxicity,” in which patients experience challenges in paying for treatment, are becoming dominant problems for patients with cancer because of burgeoning health care costs and strategies implemented by health insurance payers to reduce their level of expenditur...

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Autores principales: Raghavan, Derek, Keith, Nicole A., Warden, Hughes R., Chai, Seungjean, Turan, Wendy Jo, Moroe, Jaynie, Feild, Donna, Knight, Thomas Gregory
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8791826/
https://www.ncbi.nlm.nih.gov/pubmed/34101495
http://dx.doi.org/10.1200/OP.21.00124
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author Raghavan, Derek
Keith, Nicole A.
Warden, Hughes R.
Chai, Seungjean
Turan, Wendy Jo
Moroe, Jaynie
Feild, Donna
Knight, Thomas Gregory
author_facet Raghavan, Derek
Keith, Nicole A.
Warden, Hughes R.
Chai, Seungjean
Turan, Wendy Jo
Moroe, Jaynie
Feild, Donna
Knight, Thomas Gregory
author_sort Raghavan, Derek
collection PubMed
description PURPOSE: Fiscal distress or “financial toxicity,” in which patients experience challenges in paying for treatment, are becoming dominant problems for patients with cancer because of burgeoning health care costs and strategies implemented by health insurance payers to reduce their level of expenditure. We report the structure and function of the first Financial Toxicity Tumor Board (FTTB). Modeled on the concept of a conventional multidisciplinary tumor board, FTTB functions as a multidisciplinary conference providing broad problem-solving approaches to financial toxicity. METHODS: The FTTB, with participation from physicians, nurses, financial counselors, nurse navigators, social workers, and administrators, meets monthly and is focused on financial toxicity and financial worry experienced by patients with cancer. It is linked to a Patient Assistance Program for oncologic pharmaceutical agents as this domain constitutes a critical area of financial toxicity for many patients. RESULTS: In the first years of function, more than $55-$60 million of personal expenditure has been avoided for 1,749 and 1,819 patients, respectively, as well as more than $1.3 million copay assistance provided for financially challenged patients. Problems addressed have included payer impediments, underinsurance, complexities of certification, coding or billing issues, and inadequate internal standard operating procedures. CONCLUSION: A focus on proactive management of financial toxicity through the function of multidisciplinary FTTBs substantially ameliorates this burgeoning international problem. This concept is presented early as it may be leveraged readily in other centers.
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spelling pubmed-87918262022-10-01 Levine Cancer Institute Financial Toxicity Tumor Board: A Potential Solution to an Emerging Problem Raghavan, Derek Keith, Nicole A. Warden, Hughes R. Chai, Seungjean Turan, Wendy Jo Moroe, Jaynie Feild, Donna Knight, Thomas Gregory JCO Oncol Pract ORIGINAL CONTRIBUTIONS PURPOSE: Fiscal distress or “financial toxicity,” in which patients experience challenges in paying for treatment, are becoming dominant problems for patients with cancer because of burgeoning health care costs and strategies implemented by health insurance payers to reduce their level of expenditure. We report the structure and function of the first Financial Toxicity Tumor Board (FTTB). Modeled on the concept of a conventional multidisciplinary tumor board, FTTB functions as a multidisciplinary conference providing broad problem-solving approaches to financial toxicity. METHODS: The FTTB, with participation from physicians, nurses, financial counselors, nurse navigators, social workers, and administrators, meets monthly and is focused on financial toxicity and financial worry experienced by patients with cancer. It is linked to a Patient Assistance Program for oncologic pharmaceutical agents as this domain constitutes a critical area of financial toxicity for many patients. RESULTS: In the first years of function, more than $55-$60 million of personal expenditure has been avoided for 1,749 and 1,819 patients, respectively, as well as more than $1.3 million copay assistance provided for financially challenged patients. Problems addressed have included payer impediments, underinsurance, complexities of certification, coding or billing issues, and inadequate internal standard operating procedures. CONCLUSION: A focus on proactive management of financial toxicity through the function of multidisciplinary FTTBs substantially ameliorates this burgeoning international problem. This concept is presented early as it may be leveraged readily in other centers. Wolters Kluwer Health 2021-10 2021-06-08 /pmc/articles/PMC8791826/ /pubmed/34101495 http://dx.doi.org/10.1200/OP.21.00124 Text en © 2021 by American Society of Clinical Oncology https://creativecommons.org/licenses/by/4.0/Licensed under the Creative Commons Attribution 4.0 License: https://creativecommons.org/licenses/by/4.0/
spellingShingle ORIGINAL CONTRIBUTIONS
Raghavan, Derek
Keith, Nicole A.
Warden, Hughes R.
Chai, Seungjean
Turan, Wendy Jo
Moroe, Jaynie
Feild, Donna
Knight, Thomas Gregory
Levine Cancer Institute Financial Toxicity Tumor Board: A Potential Solution to an Emerging Problem
title Levine Cancer Institute Financial Toxicity Tumor Board: A Potential Solution to an Emerging Problem
title_full Levine Cancer Institute Financial Toxicity Tumor Board: A Potential Solution to an Emerging Problem
title_fullStr Levine Cancer Institute Financial Toxicity Tumor Board: A Potential Solution to an Emerging Problem
title_full_unstemmed Levine Cancer Institute Financial Toxicity Tumor Board: A Potential Solution to an Emerging Problem
title_short Levine Cancer Institute Financial Toxicity Tumor Board: A Potential Solution to an Emerging Problem
title_sort levine cancer institute financial toxicity tumor board: a potential solution to an emerging problem
topic ORIGINAL CONTRIBUTIONS
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8791826/
https://www.ncbi.nlm.nih.gov/pubmed/34101495
http://dx.doi.org/10.1200/OP.21.00124
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