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Suggested Citation:"Acronyms." Institute of Medicine. 2009. Assessing and Improving Value in Cancer Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12644.
Page 117
Suggested Citation:"Acronyms." Institute of Medicine. 2009. Assessing and Improving Value in Cancer Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12644.
Page 118

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Acronyms ACS American Cancer Society ASCO American Society of Clinical Oncology ASP average sales price ATC4 anatomical therapeutic classification AWP average wholesale price CCDR Canadian Coordinated Drug Review CED coverage with evidence development CMS Centers for Medicare and Medicaid Services FDA U.S. Food and Drug Administration GDP gross domestic product HTA health technology assessment ICD implantable cardiac defibrillator ICER incremental cost-effectiveness ratio IND investigational new drug IOM Institute of Medicine 117

118 assessing and improving value in cancer care NCCN National Comprehensive Cancer Network NCI National Cancer Institute NCPF National Cancer Policy Forum NHS National Health Service (United Kingdom) NICE U.K. National Institute for Health and Clinical Excellence NIH National Institutes of Health NSCLC non-small cell lung cancer PBM pharmacy benefit manager PhRMA Pharmaceutical Research and Manufacturers of America QALY quality-adjusted life-year RCT randomized controlled trial RVU relative value unit VBID value-based insurance design

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Assessing and Improving Value in Cancer Care: Workshop Summary Get This Book
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Unlike many other areas in health care, the practice of oncology presents unique challenges that make assessing and improving value especially complex. First, patients and professionals feel a well-justified sense of urgency to treat for cure, and if cure is not possible, to extend life and reduce the burden of disease. Second, treatments are often both life sparing and highly toxic. Third, distinctive payment structures for cancer medicines are intertwined with practice. Fourth, providers often face tremendous pressure to apply the newest technologies to patients who fail to respond to established treatments, even when the evidence supporting those technologies is incomplete or uncertain, and providers may be reluctant to stop toxic treatments and move to palliation, even at the end of life. Finally, the newest and most novel treatments in oncology are among the most costly in medicine.

This volume summarizes the results of a workshop that addressed these issues from multiple perspectives, including those of patients and patient advocates, providers, insurers, health care researchers, federal agencies, and industry. Its broad goal was to describe value in oncology in a complete and nuanced way, to better inform decisions regarding developing, evaluating, prescribing, and paying for cancer therapeutics.

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