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Formulary Transparency Helps Cancer Patients
For an individual with specific health care needs – like cancer patients and survivors – the drugs covered by a health plan and corresponding cost sharing for each drug is important information when choosing health insurance. However, to make an informed ...
Survivor Views: Affordability, Prescription Drugs, & Pain
... CAN’s public policy work at all levels of government. Fielded October 22-November 19, 2021, the latest survey explores the affordability of health care for cancer patients and survivors, prescription drugs, and pain management. The web-based survey was conducted among 1,248 patients and ... the prescription drugs and treatments associated with their care. Over 80% of cancer patients and survivors have taken steps to address their health care costs, with the plurality (44%) taking money out of savings to pay for their health care and 36% accumulating credit card debt to pay ...
Survivor Views: Surprise Billing and Prescription Cost and Coverage Survey Findings Summary
... patients and survivors. In October 2019, Survivor Views conducted a cohort survey focused on their experiences accessing and paying for cancer care, including the cost of prescription drugs and their experiences receiving surprise bills. One thousand three hundred and ninety-two cohort ... confidence level. The research provides important insights into the experiences of cancer patients and survivors in accessing and affording health care and medication to treat their cancer or prevent it from returning. Key Findings: Key findings from the survey include: Nearly ... to try a less expensive drug first (also known as step therapy). Seventy-nine percent of respondents who reported a barrier experienced negative health or lifestyle consequences, including additional time spent resolving the issue, additional expense to obtain the drug, or difficulty ...
Survivor Views: Copay Assistance and Patient Navigation
... note at end). The margin of sampling error associated with a sample of this size is +/-2.8% at a 95% confidence level. Key Findings: Cancer care is expensive and prescription drug costs are a challenge for nearly one-third of cancer patients and survivors (31%), with one-fifth having ... the survey. For this survey, a patient navigator was defined as follows: “Patient navigators help guide patients through the often-complicated health care system with the resources they need to get care. A patient navigator helps patients communicate with their healthcare providers so they get the information they need to make decisions about their health care. Patient navigators may also help patients set up appointments for doctor visits and medical tests and get financial, legal, and social ...
Understanding Biologic and Biosimilar Drugs
... that they are generally larger, more complex molecules. Biologics are usually administered via injection or infusion. Most biologics in cancer care are given under the close supervision of a medical professional. Biologics have been a part of medical treatment for a long time and have ... one, some, or all of the conditions of the reference product. While the safety of a biosimilar is assured through FDA review and approval, your health care provider should review the product label for any prescribed biosimilar. Why biosimilars were introduced Biosimilars were introduced ... to you by your healthcare provider. This might be for several reasons, including that the biosimilar is the preferred product of your doctor or health plan. This preference might also come from physician’s experience with the product, a desire by your health plan to control costs, or ...
Patient Assistance Programs
... Federal Anti-Kickback statutes, manufacturers are prohibited from directly paying for any part of drug costs for patients relying on a Federal Health Care Program (FHCP) including Medicare and veterans’ programs and having those costs count towards the patient’s out-of-pocket costs.1 ... companies. These programs are permitted to support FHCP patients, on the condition they operate within the parameters defined by the U.S. Health and Human Services Office of Inspector General. Requirements for eligibility in the programs vary: some programs only assist uninsured ...