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Differences Over Pathways Developed by Oncologists and MCOs May Create Conflict Over Prescribing Decisions in Early-Line Treatment
Date:8/28/2013

BURLINGTON, Mass., Aug. 28, 2013 /PRNewswire/ -- Decision Resources, one of the world's leading research and advisory firms for pharmaceutical and healthcare issues, finds that clinical pathways developed by physician groups are not preventing oncologists from prescribing their preferred therapies for advanced non-small-cell lung cancer (NSCLC), but that pathways developed by managed care organizations (MCOs) are more restrictive. Seventy-two percent of surveyed oncologists currently participating in a clinical pathways program for stage IV nonsquamous (NSQ) NSCLC indicated that both Roche/Genentech/Chugai's Avastin and Roche's Tarceva were permitted in the first line while 66 percent reported that Pfizer's Xalkori was permitted in this line. In general, these responses did not differ materially from the percentage of oncologists that would prefer to prescribe these drugs in these lines in the absence of clinical pathways. In contrast, less than a third of surveyed MCO pharmacy directors/medical directors whose plans are involved in pathways indicated these drugs were permitted in this line of therapy.                                                                                        

The U.S. Physician and Payer Forum report entitled Impact of Payer-Imposed Strategies on Market Access in NSCLC and Prostate Cancer: Clinical Pathways, Bundled Payments, and Accountable Care Organization Contracting
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SOURCE Decision Resources
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