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.
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 |
How Should We Define 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 |
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 |
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 |
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 |
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 |
Patient-Centeredness in Delivering Affordable Care |
|
• Jessie Gruman, Center for Advancing Health |
|
Financing Care |
|
Health Insurer Perspective in Delivering Affordable Cancer Care |
|
• Lee Newcomer, UnitedHealthcare |
|
Reimbursement Reform and Coverage with Evidence Development |
|
• Peter Bach, Memorial Sloan-Kettering Cancer Center |
Panel Discussion |
|
9:20 a.m. |
Break |
10:15 a.m. |
Session 4 (Continued) |
Community Oncology |
|
• Peter Eisenberg, Marin Specialty Care |
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• Robert Green, Cancer Clinics of Excellence |
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Integrated Health System |
|
• Joanne Schottinger, Kaiser Permanente |
|
A View from Two Health Care Systems: Managing the 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 |
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 |
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• Ezekiel Emanuel, University of Pennsylvania |
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• Robert Erwin, Marti Nelson Cancer Foundation |
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• Barry Kramer, NCI Division of Cancer Prevention |
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• Allen Lichter, American Society of Clinical Oncology |
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• Therese Mulvey, Southcoast Center for Cancer Care |
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• Paula Rieger, Oncology Nursing Society |