OBR Daily Commentary

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Cancer's Big Infrastructure Problem

(Forbes) June 15, 2017 - We need to do more than just raise cancer drug prices yet again. We need to invest in the kind of infrastructure that will make it possible to test many of these medicines, and speed up innovation further.

Winston Wong, PharmD (Posted: June 16, 2017)

quotesThere is an infrastructure problem, and the problem is that we need to do a better job to show the trust value of the generic profiling so that it will be paid for. If the tests are covered, the drugs will be used. Next, we need to have more comparative trials between like drug in classes so we definitely will know if one drug is better over another. Finally, we need to rebuild the entire reimbursement system so that pricing is not driven by what the market will accept. Simple changes .... Let's get them done!!quotes

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CancerCare® Establishes Patient Values Initiative Releases Focus Group Assessment

(CancerCare) June 13, 2017 - CancerCare® has announced the establishment of the CancerCare Patient Values Initiative a multi-pronged effort with an aim to reframe the national healthcare policy dialogue so that it includes what is important to patients and their families.

Thomas Marsland, MD (Posted: June 16, 2017)

quotesSo one of the significant changes in all of the newer compensation models based on value is to include the idea of the what is important to the patient. We have to some extent done that but unfortunately all to often in the more traditional fee for service the patients perspective of what is valuable was not address. Value will change from patient to patient. What is important to a 35 year old mother will be drastically different than what if valuable to an 80 year old gentleman. Another important point is that these discussions have to be ongoing since the patients' definition of value will change as they migrate through the cancer treatment world. Formalizing the patients views as part of the ongoing record is a needed step forward.quotes

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Cancer's Big Infrastructure Problem

(Forbes) June 15, 2017 - We need to do more than just raise cancer drug prices yet again. We need to invest in the kind of infrastructure that will make it possible to test many of these medicines, and speed up innovation further.

Thomas Marsland, MD (Posted: June 16, 2017)

quotesSo right patient, right drug, right time. But it is not really that easy. As the author suggest more research is needed but in these tumors with rare targetable mutations collecting enough data is difficult. The prospective randomize trial will always be the gold standard but for rare tumors we may well have to rely on pooled real world data. Agree that the infrastructure is not yet in place but a number of programs such as ASCO's Cancer LinQ are being developed. It is critical that all of us participate in this and like programs to assure that we can accumulate sufficient data to help decide who is the right patient; which is the right drug; and when is the right time.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...

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...

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

Director WVU Cancer Institute Director of Cancer Signa...

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

Professor and Director, Division of Hematology Oncology...

Health Policy
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Ted Okon

Executive Director Community Oncology Alliance...

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...