Taking a Stand on Step Therapy: Treating Patients With the Right Therapy at the Right Time

Taking a Stand on Step Therapy: Treating Patients With the Right Therapy at the Right Time

On August 7, 2018, the Center for Medicare and Medicaid Services  (CMS) announced Medicare Advantage Plans would be permitted to apply a step therapy approach to Part B drugs starting in 2019. This action effectively rescinds a September 17, 2012 memo that prohibited the imposition of step therapy for Part B drugs.

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ASCO 2018: Building Better Cancer Care Delivery Systems

ASCO 2018: Building Better Cancer Care Delivery Systems

Oncology patients on active treatment have, on average, one hospital admission and two emergency department visits per year, and 40% to 50% of these stem from symptoms related to their treatment . Acute hospitalizations account for 48% of total cancer expenditures and considerable regional variation exists, suggesting that these hospitalizations may be avoidable.

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The Uncomfortable Truth: The Burnout Epidemic & our Cancer Care Teams

The Uncomfortable Truth: The Burnout Epidemic & our Cancer Care Teams

In reflecting upon my attendance at the 2018 ASCO Annual Meeting, I was genuinely surprised (and concerned) at how often I heard the words “burning out,” “burned out,” “burnout,” and “burnt” inextricably woven into so many faculty presentations and attendee narratives. Burnout, as defined by Christina Maslach and colleagues, is a syndrome of emotional exhaustion or depletion, cynicism or depersonalization, and a sense of low personal accomplishment. 

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