Navigation Links
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 finds that clinical pathways developed by oncologists tend to focus on the more advanced stages of cancer, such as stage IV NSQ and squamous NSCLC. MCOs, however, are focusing their efforts on less advanced NSCLC and prostate cancer. MCOs that do have pathways in place for more advanced cancer tend to present narrower lists of permitted therapies, which could create conflict among oncologists who wish to prescribe off pathway. In fact, this concern over their prescribing was listed among the key challenges for oncologists currently taking part in pathways.

The report also finds that bundled payments and accountable care organizations (ACOs) appear to be growing in prominence as MCOs seek to control costs. Often tied to chemotherapy and other therapies, bundled payments also commonly cover physician visits, hospitalizations and radiology. Surveyed payers believe that bundled payments can achieve reduced drug spending of 16 percent and medical spending of 17 percent, likely stemming from a focus on more cost-effective treatment.

"Payers want to control their costs in NSCLC and prostate cancer and these strategies will likely affect prescribing decisions. Across clinical pathways, bundled payments and ACOs, we see that payers see substantial potential to reduce costs without hurting outcomes," said Decision Resources Senior Director Roy Moore. "To achieve these goals, oncologists will likely be urged to change their prescribing decisions, particularly around the use of branded therapies and generics. Marketers of branded therapies must therefore cater their marketing strategies to these themes or risk reduced prescribing from oncologists."

About Decision Resources
Decision Resources (www.decisionresources.com) is a world leader in market research publications, advisory services and consulting designed to help clients shape strategy, allocate resources and master their chosen markets. Decision Resources is a Decision Resources Group company.

About Decision Resources Group
Decision Resources Group is a cohesive portfolio of companies that offers best-in-class, high-value information and insights on important sectors of the healthcare industry. Clients rely on this analysis and data to make informed decisions. Please visit Decision Resources Group at www.DecisionResourcesGroup.com.

All company, brand, or product names contained in this document may be trademarks or
registered trademarks of their respective holders.


'/>"/>
SOURCE Decision Resources
Copyright©2012 PR Newswire.
All rights reserved

Related medicine technology :

1. B12 Shots vs Sublingual B12 - US Vitamin Injections Discusses the Differences
2. Syndax Pharmaceuticals Announces Publication of Clinical Study Demonstrating that Entinostat Targets Resistance Pathways in Breast Cancer
3. A Novel Oral Anticoagulant is Planned to be Developed for Patients with Prosthetic Heart Valves or Chronic Renal Dysfunction
4. Breakthrough Method for Lipid Analysis in Fecal Material Developed; New Understanding of Diseases/Disorders Related to Gut Function Possible
5. ASCO Impact Report From Encuity Research Indicates Oncologists Are Likely to Shift Patient Treatment Plans
6. Oncologists restrict pharmaceutical sales rep access at accelerating rates
7. Cardinal Health Specialty Solutions, Health Alliance Plan Work With Michigan Oncologists to Improve Quality, Curb Costs of Cancer Care
8. Survey of Oncologists Reveals 98.9% of Physicians Experienced Cancer Drug Shortages in Last 12 Months
9. Oncologists in the United States and Europe Indicate that Novel Chemotherapies Hold the Most Near-Term Promise for Improving Outcomes in Soft Tissue Sarcoma
10. According to Surveyed Oncologists in the EU5, Zytiga Has Heavily Penetrated Second-Line Treatment of Metastatic Castrate-Resistant Prostate Cancer (mCRPC) and is Displacing Jevtana to Later-Line mCRPC
11. Despite the Recent Availability of Xtandi, Zytiga Continues to Dominate the Second-Line Metastatic Castrate-Resistant Prostate Cancer Setting, According to Surveyed U.S. Oncologists and Urologists
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/4/2016)... 2016 Wegener Polyangiitis - Pipeline Review, ... ,Wegener Polyangiitis - Pipeline Review, H2 2015, provides ... This report provides comprehensive information on the ... analysis at various stages, therapeutics assessment by drug ... (RoA) and molecule type, along with latest updates, ...
(Date:2/4/2016)... Summary Breast cancer, a malignant neoplasm, ... common cancer in women worldwide, accounting for 16% of ... number of women diagnosed with breast cancer has increased ... deaths has declined due to earlier diagnosis and better ... in the past four decades, especially with increasing usage ...
(Date:2/4/2016)... LONDON , Feb. 4, 2016 ... Identifying and Commercializing First-in-Class Innovation ... disorder associated with chronic inflammation of the airways ... of COPD symptoms make the disease one of ... cause of death in the world. COPD is ...
Breaking Medicine Technology:
(Date:2/6/2016)... ... February 06, 2016 , ... US Sports Camps is proud to sponsor the ... brings together top non-profit leaders, ultimate organizations, and coaches from around the US. The ... Area Disc Program Director of Youth and Education, describes this year YUCC as “an ...
(Date:2/5/2016)... ... February 05, 2016 , ... Love is in the air at King ... colors, assortments and packaging. This staple for Valentine’s Day is a must-have, and can ... For Valentine’s Day, not only are long-stem roses available, but also other flower bouquets, ...
(Date:2/5/2016)... , ... February 05, 2016 , ... ... domestic franchisees of Popeyes Louisiana Kitchen restaurants, launched the 14th annual “Appetite for ... kids and adults with muscular dystrophy, ALS and related diseases that severely limit ...
(Date:2/5/2016)... , ... February 05, 2016 , ... ... devoted exclusively to funding innovative lymphoma research and serving the lymphoma community through ... poised to once again host, Swirl, A Wine Tasting Event at the La ...
(Date:2/5/2016)... ... 2016 , ... Give To Cure today announced that it is ... Give To Cure’s campaign that is crowdfunding clinical trials to help find cures faster ... through a smart device. In 2015 alone, Venmo processed $7.5 billion in transactions among ...
Breaking Medicine News(10 mins):