OBR Daily Commentary

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Oncology Medical Homes, Patient Navigators Improved Quality and Saved Costs at End of Life

(AJMC.com) March 13, 2017 - A recent study in Health Affairs assessed cost and utilization outcomes for 3 innovative care models for Medicare beneficiaries with cancer: oncology medical homes, patient navigator programs, and palliative care initiatives.

Thomas Marsland, MD (Posted: March 20, 2017)

quotesThis report again confirms what we all suspected. That there are indeed significant savings to the "system" when practitioners take the responsibility to direct appropriate care themselves. This as discussed involved standardization of how the practice deals with patients that have "pathways" in place for triage and treatments. Also having expanded access by the patients to the physicians and other caregivers in the practice. No longer is it acceptable to have a recording say "hang up and dial 911" or have the practice on-call person say "go to the ER." WE have to be there for our patients. If we really do this and take responsibility, indeed this can result in reduced costs of care. HOWEVER, there have been numerous examples (Drexel, Wilshire and others) that also clearly show that the costs to the practice are significantly increased. Obviously in any new payment model these increased costs have to be recognized. In addition, these three newer models should be included as potential options for new APM's. quotes

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20% Cut to NIH Budget Would Leave Americans More Vulnerable To Cancer And Other Diseases, Experts Warn

(Los Angeles Times) Mar 16, 2017 - A future in which cancers are cured, heart disease prevented and devastating brain disorders reversed may just have gotten a bit more distant, leaders of the nation’s leading biomedical research organizations said Thursday.

Dean Gesme, MD (Posted: March 17, 2017)

quotesSurely defending our country's medical health warrants expenditures as great as defending our country's borders from immigrants or foreign aggressors!quotes

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Some Cancer Patients 'Hyperprogress' on Immunotherapy

(Medscape Medical News) Mar 9, 2017 - Although many people respond well to immunotherapy, some patients have cancers that appear to rapidly progress with treatment. Genomics could be the key to identifying these cases in advance.

H. Jack West, MD (Posted: March 10, 2017)

quotesWe still have more questions than answers about the potential for patients to "hyperprogress" after exposure to immunotherapies, but this has been reported elsewhere (Champiat, Clinical Cancer Res, 2016), and several clinical groups have reported that they have anecdotally noted this phenomenon at their centers, some even noting that they are working on preparing manuscripts that characterize it more fully. This concept will be critical to understand better, especially as immunotherapy moves earlier into and more broadly across treatment paradigms in many cancers.quotes

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Meet the Editorial Board

Community Oncology
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Dean Gesme, MD

FACP FACPE FASCO President, Minnesota Oncology...

Breast Cancer
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Debu Tripathy, MD

Professor and Chair, Department of Breast Medical Oncol...

Lung Cancer
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H. Jack West, MD

Medical Director, Thoracic Oncology Program, Swedish Ca...

Gastrointestinal Cancers
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Howard S. Hochster, MD

Associate Cancer Center Director, Yale Cancer Center P...

Radiation Oncology
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Howard Sandler, MD, MS, FASTRO

Professor and Chair, Department of Radiation Oncology...

Community Oncology
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Jeff Patton, M.D.

CEO Tennessee Oncology...

Precision Medicine Section Editor
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Jennifer Levin Carter, MD, MPH

Chief Medical Officer and Founder, N-of-One...

Health Policy
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Joseph Bailes, MD

National Health Policy Expert...

Financial Sector
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Michael G. King Jr.

Managing Director and Senior Biotechnology Analyst...

Gastrointestinal Cancers
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Richard Goldberg, MD

Professor and Physician-in-Chief of the Ohios State Uni...

Editor-In-Chief
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Robert A. Figlin, MD., FACP

Professor and Director, Division of Hematology Oncology...

Community Oncology
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Thomas Marsland, MD

Vice President Integrated Community Oncology Network ...

Community Oncology
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William Harwin MD

Florida Cancer Specialists President and Managing Part...

Health Policy
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William McGivney, PhD

National Health Policy Expert...

Payer
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Winston Wong, PharmD

President, W-Squared Group...