Navigation Links
Cancer Care Unaffected by Doctor Reimbursement Changes
Date:7/8/2008

Study says Medicare Modernization Act yet to show drop-off in access predicted by critics

TUESDAY, July 8 (HealthDay News) -- Chemotherapy patients have not lost access to care despite federal legislation that has reduced reimbursements to their doctors in recent years, a new report finds.

Critics feared the passing of the Medicare Modernization Act of 2003 would make treatment more difficult, but investigators from the Duke Clinical Research Institute (DCRI) found little difference in the distance chemo patients traveled to be treated and the time between diagnosis and start of treatment.

"The Medicare Modernization Act took issue with the fact that oncologists were often reimbursed too much -- sometimes as much as three times what they had paid -- for the chemotherapy drugs they were giving their patients, and subsequently, doctors saw those reimbursement payments fall," senior study investigator Dr. Kevin Schulman, director of the DCRI's Center for Clinical and Genetic Economics, said in a prepared statement. "The concern was that patient care would suffer if doctors had to close their practices or scale back, making it necessary for patients to travel farther or go to inpatient facilities for treatment. Our study showed that this, in fact, has not yet occurred."

The researchers studied the treatment of people with leukemia, lymphoma, breast, lung or colorectal cancer from across the United States from 2003, before the act passed, through 2006.

"The distance patients traveled for chemotherapy treatments did not considerably increase after passage of the act," lead investigator Lesley Curtis, a health services researcher in the DCRI, said in a prepared statement. "And despite concerns that patients would have to go to inpatient settings with longer wait times to be treated, we observed a small shift in the provision of initial chemotherapy from inpatient to outpatient settings between 2003 and 2006."

The median amount of time between diagnosis and chemotherapy was 28 days and did not change significantly, regardless of the treatment settings between 2003 and 2006, Curtis said.

"We did find that patients in rural areas tended to have to wait longer to begin their chemotherapy after diagnosis -- their wait times increased by up to five days from 2003 to 2006," Curtis said. "Whether this is something that could have a negative effect on treatment outcomes is still unknown, but it is something we should continue to follow."

The findings were published in the July 9 issue of the Journal of the American Medical Association.

The lower reimbursement may still have long-term effects that have yet to be realized, Curtis cautioned.

More information

The American Cancer Society has more about cancer and cancer treatments.



-- Kevin McKeever



SOURCE: Duke University Medical Center, news release, July 8, 2008


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Hormone Therapy Shows Little Benefit Against Prostate Cancer
2. College-Educated Fare Better When Cancer Strikes
3. FDA Approves Genetic Test for Breast Cancer
4. Thickness, Location Predict Skin Cancers Spread
5. Patients unaware of link between smoking and bladder cancer
6. Jefferson researchers show antibody to breast cancer-secreted protein blocks metastasis
7. Ivy Foundation Funds New Brain Cancer Research Consortium : $3M Stage I Project Aims to Improve Personalized Medicine for Patients
8. Monogram Announces Commercial Availability of the HERmark(TM) Breast Cancer Assay
9. Inaugural Big Expedition for Cancer Research Encounters Mountain As Challenging As Finding a Cure for Cancer
10. Protein thought to promote cancer instead functions as a tumor suppressor
11. Overweight, insulin resistant women at greater risk of advanced breast cancer diagnosis, says study
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/22/2017)... ... 2017 , ... A product of digesting a micronutrient found in soy may ... eating soy foods, while others do not, a University of Pittsburgh Graduate School of ... substance made by some types of “good” gut bacteria when they metabolize isoflavones (micronutrients ...
(Date:2/22/2017)... ... February 22, 2017 , ... Forty-five percent ... those report that family members or friends have also commented about their poor ... loss wear hearing aids. One reason, suggested by 89 percent of American respondents, ...
(Date:2/22/2017)... ... 22, 2017 , ... Super-Sod will attend the Athens Home Show with a ... A shift from Super-Sod’s simple Athens Home Show booth of 2016, this year’s exhibit ... plant manager Chris Roquemore constructed furniture from recycled pallet wood at the Super-Sod farm ...
(Date:2/22/2017)... ... February 22, 2017 , ... Social media marketing is transitioning ... and health systems. Smith & Jones’ delves into this insight and more in its ... Smith & Jones David Vener meets up with social media strategist and partner of ...
(Date:2/22/2017)... ... February 22, 2017 , ... BrightStar Care Charleston ... of the Medical University of South Carolina (MUSC) Center on Aging’s Senior Expo ... “MUSC’s Center on Aging is a tremendous resource in our community. We are thrilled ...
Breaking Medicine News(10 mins):
(Date:2/22/2017)... --  Known for selling everyday household products commonly found ... California urologist Dr. Ron ... the British conglomerate that makes those products – it ... her late husband,s invention, business plans, and other trade ... until his violent death in 2013, filed suit yesterday ...
(Date:2/22/2017)... Pharma announced today the completion of its executive management ... were added to form an executive team that will ... the implementation and administration of its newly executed strategic ... companies. Effective as of February ... following eight members reporting to Robert DiCrisci : ...
(Date:2/22/2017)... , Feb. 22, 2017 Henry ... an exclusive distribution agreement with Rijuven, which develops ... diagnostic device to medical practitioners. ... electrocardiogram (ECG) and heart sound signals, transmits real-time ... and offers cloud-based analysis to help physicians provide ...
Breaking Medicine Technology: