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

JCO Oncology Practice
Derek RaghavanThomas Gregory Knight

Abstract

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. 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. 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 p...Continue Reading

References

Jan 11, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Deborah Schrag, Morgan Hanger
Aug 15, 2013·Journal of Oncology Practice·Tammy K StumpYu-Ning Wong
Dec 18, 2013·Seminars in Oncology·Derek Raghavan
May 20, 2014·Journal of Oncology Practice·Christine M BestvinaS Yousuf Zafar
Dec 15, 2015·Journal of the National Cancer Institute·S Yousuf Zafar
Jun 2, 2016·American Society of Clinical Oncology Educational Book·Derek Raghavan, Mark W Legnini
Jan 1, 2015·The Journal of Economic Perspectives : a Journal of the American Economic Association·David H HowardRena M Conti
Dec 21, 2017·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jalpa A DoshiKatrina A Armstrong
Dec 23, 2017·Journal of Oncology Practice·Veena ShankaranKaren Overstreet
Oct 26, 2018·Journal of Oncology Practice·Thomas G KnightGrant R Williams

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