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- W2245885402 abstract "Payers see waste in cancer care, according to The Zitter Group’s Managed Care Oncology Index: Winter 2011. Excessive end-of-life treatment and inappropriate drug utilization were cited as primary drivers of spend; 22 percent of costs could be eliminated without affecting outcomes, respondents said.The findings also indicate that there is significant disagreement about the effectiveness of prior authorization. Practice managers report they successfully appeal PAs more often than payers believe. But payers feel significantly more strongly than oncologists that the adoption of clinical pathways will improve the quality of care and reduce treatment costs.“Clinical pathways provide payers another tool to manage utilization. Unlike PAs, which payers impose unilaterally, multiple stakeholders — payers, specialty pharmacies, oncology practices — create pathways and work to standardize treatment decisions,” says Lee Goldberg, senior manager of syndicated research at The Zitter Group. “Pathways promise to simplify cancer care, but their multiplicity makes the access landscape that much more complex.”Source: Managed Care Oncology Index: Winter 2011, The Zitter Group" @default.
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- W2245885402 date "2012-01-01" @default.
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- W2245885402 title "Oncology costs must be reined in, say payers." @default.
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