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Appendix Workshop Agenda Delivering Affordable Cancer Care in the 21st Century: A Workshop October 8 and 9, 2012 Room 100 The Keck Center of the National Academies 500 Fifth Street, NW Washington, DC 20001 STATEMENT OF TASK An ad hoc committee will plan and conduct a public workshop, whose agenda will identify and examine key drivers behind the escalating cost of cancer care, as well as potential policy changes that could modify those drivers and help ensure affordable cancer care. The workshop, which will feature invited presentations and discussion, may examine topics such as • the use of biomarker and imaging tests; • the impact of new technologies; • the role of medical homes and care coordination; and • the influence of health care payment mechanisms. Workshop participants will also discuss potential ways to reduce cost escalation in cancer care while improving the quality of care and patient outcomes. A single individually authored summary of the workshop will be prepared by a designated rapporteur based on the information gathered and the discussions held. 75

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76 DELIVERING AFFORDABLE CANCER CARE IN THE 21st CENTURY AGENDA Day 1: October 8, 2012 7:45 a.m. Registration 8:15 a.m. Welcome from the IOM National Cancer Policy Forum • John Mendelsohn, MD Anderson Cancer Center,  National Cancer Policy Forum Chair 8:20 a.m. Opening Remarks • Harvey V. Fineberg, President of the Institute of Medicine  8:35 a.m. Workshop Introduction and Overview • Patricia A. Ganz, University of California, Los Angeles,  Workshop Co-Chair • Tina Shih, University of Chicago, Workshop Co-Chair  8:40 a.m. Session 1: Overview Moderator: Patricia A. Ganz How Should We Define Value in Cancer Care: Summary of the 2009 NCPF Workshop, Assessing and Improving Value in Cancer Care • Scott Ramsey, Fred Hutchinson Cancer Research Center  What Is the Economic Burden for Patients and Their Families? • Veena Shankaran, Fred Hutchinson Cancer Research Center  Delivering Affordable Cancer Care in High-Income Countries: What Are the Known Challenges? • Jeffrey Peppercorn, Duke University  Projections on the Economic Burden of Cancer in the United States • Robin Yabroff, National Cancer Institute 

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APPENDIX 77 Where Are the Health Care Cost Savings? • Ezekiel Emanuel, University of Pennsylvania  Panel Discussion 11:00 a.m. Break 11:15 a.m. Keynote Presentation • Mark McClellan, Brookings Institution  12:00 p.m. Lunch Break 1:00 p.m. Session 2: Cancer Screening and Diagnosis Moderator: Tina Shih, University of Chicago Culture of Cancer Screening and Diagnosis: Disparities in Spite of High Costs • Otis Brawley, American Cancer Society  Overuse and Underuse of Colorectal Cancer Screening • James Goodwin, University of Texas Medical Branch  CT Scans for Lung Cancer Screening • Denise Aberle, University of California, Los Angeles  Panel Discussion 2:30 p.m. Break 2:45 p.m. Session 3: Cancer Treatment and Surveillance Moderator: Lowell Schnipper, Beth Israel Deaconess Medical Center ASCO’s Top 5 Initiative: A Way to Improve Quality and Reduce Cost of Care • Lowell Schnipper, Beth Israel Deaconess Medical Center  Biologics and Pharmacologics • Deborah Schrag, Dana-Farber Cancer Institute 

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78 DELIVERING AFFORDABLE CANCER CARE IN THE 21st CENTURY Role of Compendia in Determining What Drugs Are Reimbursed • Amy Abernethy, Duke University  Toward Accountable Care in Radiation Oncology • Justin Bekelman, University of Pennsylvania  New Technologies in Surgery • Jim Hu, University of California, Los Angeles  Novel Models of Supportive Care in Patients with Advanced Cancer • Jennifer Temel, Massachusetts General Hospital  Panel Discussion 5:15 p.m. Wrap-Up and Adjourn Day 2: October 9, 2012 7:30 a.m. Registration 8:00 a.m. Session 4: Practice-Changing Strategies to Deliver Affordable Care Moderator: Scott Ramsey, Fred Hutchinson Cancer Research Center Patient-Centeredness in Delivering Affordable Care • Jessie Gruman, Center for Advancing Health  Financing Care  Health Insurer Perspective in Delivering Affordable Cancer Care •  ee Newcomer, UnitedHealthcare L  Reimbursement Reform and Coverage with Evidence Development •  eter Bach, Memorial Sloan-Kettering Cancer Center P

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APPENDIX 79 Panel Discussion 9:20 a.m. Break 10:15 a.m. Session 4 (Continued) Community Oncology • Peter Eisenberg, Marin Specialty Care  • Robert Green, Cancer Clinics of Excellence  Integrated Health System • Joanne Schottinger, Kaiser Permanente   View from Two Health Care Systems: Managing the A Costs of Cancer Care • Craig Earle, Ontario Institute for Cancer Research  Panel Discussion 11:20 a.m. Break 11:30 a.m. Session 5: Panel Discussion Delivering Affordable Cancer Care: Paths Forward Moderator: Tom Kean, C-Change How Do We Change the Culture of Oncology Care to Improve Access, Quality, and Affordability? Summary of Key Workshop Themes • Tom Kean, C-Change  Panelists: • Renzo Canetta, Bristol-Myers Squibb  • Susan Dentzer, Health Affairs  • Ezekiel Emanuel, University of Pennsylvania  • Robert Erwin, Marti Nelson Cancer Foundation  • Barry Kramer, NCI Division of Cancer Prevention  • Allen Lichter, American Society of Clinical Oncology  • Therese Mulvey, Southcoast Center for Cancer Care  • Paula Rieger, Oncology Nursing Society 

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80 DELIVERING AFFORDABLE CANCER CARE IN THE 21st CENTURY 12:50 p.m. Workshop Wrap-Up • Patricia A. Ganz  • Tina Shih  1:00 p.m. Adjourn