Initiative Seeks to Advance Molecular Understanding of Pancreatic Cancer
May 7th 2015A partnership between the Pancreatic Cancer Action Network and Perthera, a self-described "concierge" for molecular diagnostic testing, is aiming to give patients with this hard-to-treat cancer the ability to determine the best course of treatment.
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Study Suggests Lung Cancer Screening Criteria May Not Capture All Smokers Who Need It
March 31st 2015Eligibility criteria set by the Centers for Medicare & Medicaid Services for coverage of low-dose computed tomography for individuals deemed at high risk for lung cancer may actually exclude many potential lung cancer patients who would benefit from screening.
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Medicare Reimburses 3 Prostate Cancer Diagnostic Tests
January 4th 2015After months of delay, the Medicare Administrative Contractor (MAC), with jurisdiction over most molecular diagnostic tests used to treat cancer, made a series of decisions this fall that will allow Medicare reimbursement for several well-known tests, including 3 used in the treatment of prostate cancer.
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"Perverse Incentives" Add Costs to Dying Patients
December 29th 2014Sweeping changes to the way America delivers care at the end of life would better serve patients and their families, while achieving the goals sought in the Affordable Care Act (ACA) of better health, cost savings, and especially patient satisfaction
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When Science Outpaces Payers: Molecular Diagnostics Pose Reimbursement Dilemmas
September 17th 2014As precision medicine continues to evolve in cancer care, the development of highly sophisticated tests that leverage the explosion of knowledge about the molecular and protein characteristics of an individual patient's tumor has emerged as its own scientific frontier.
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Medicaid Expansion Plans Provide Novel Approaches for Healthcare Coverage
December 23rd 2013The US Supreme Court's decision to uphold the Affordable Care Act but allow states to decide whether to expand Medicaid has raised a question in many states: Where political leaders have been opposed or split on President Obama's healthcare reforms, is it smart or foolish to cover more people?
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Fine Print of Budget Deal Doesn't Bode Well for SGR Overhaul
December 19th 2013The tiny "raise" touted in the latest temporary fix to Medicare's Sustainable Growth Rate, which was wrapped inside the bipartisan budget deal headed to President Obama's desk, is anything but good news for oncologists.
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Drug Shortages Persist in Wake of Surveys
November 6th 2013Headlines from the June meeting of the American Society of Clinical Oncology (ASCO) in Chicago announced to the general public what oncologists and hematologists have known for more than two years: sporadic shortages of cancer drugs are forcing suboptimal treatment plans for patients, and government efforts have not filled the void.
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Leveraging Health Reform to Combat a History of Cancer
October 11th 2013Governor Steve Beshear did not sugarcoat the data on May 9, 2013, when he said Kentucky would take an offer it couldn't refuse. With his state ranked worst in the nation in smoking and cancer deaths, and not far behind in heart disease, Beshear was "tired of being at the bottom."
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