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Cancer Patients & Survivors Strongly Support Maintaining Funding for Medicaid and Protections for Preexisting Conditions
... all levels of government. Fielded January 9-26, 2025, our latest survey explores cancer patients’ and survivors’ perspectives on several key health policy questions related to Medicaid, marketplace health plans, and coverage for preexisting conditions. The web-based survey was conducted among 1,246n cancer patients and survivors nationwide who ... the federal government should reduce funding for Medicaid. Allowing More Non-ACA Plans in the Marketplace Would Cause Confusion The Affordable Care Act requires plans to cover certain Essential Health Benefits (like hospitalizations, prescription drugs, doctor’s visits). Some ...
Effective Policies Known to Prevent Tobacco Use and Address Tobacco-Related Disparities
... as much as 40 percent in parts of the South and Appalachia. [iii] Tobacco use has been found to be one of the primary drivers of cancer-related health disparities because its use disproportionately impacts people based on race, ethnicity, sexual orientation, gender identity, disability status, mental health, income level, education level, and geographic location. [iv] , [v] , [vi] Achieving health equity relies heavily on eliminating tobacco ... use. Our ability to continue to make progress against cancer relies heavily on eliminating the inequities that exist in cancer prevention and care. ACS CAN is pursuing fact-based tobacco control policies at the local, state and federal levels that aim to reduce disparities and improve ...
Black Men and Prostate Cancer
... or regional stages is around 100%. The Prostate-Specific Antigen Screening for High-risk Insured Men (PSA Screening for HIM) Act would require health insurance providers to cover prostate-specific antigen (PSA) blood tests for the highest risk patients at no cost. Throughout this ... Mir, N., Peters, E., Tipirneni, R., & Politi, M. C. (2018). Access Is Necessary but Not Sufficient: Factors Influencing Delay and Avoidance of Health Care Services. MDM policy & practice, 3(1), 2381468318760298. https://doi.org/10.1177/2381468318760298 Black Men and Prostate Cancer ...
Medicaid Work Requirements Jeopardize Cancer Patients & Survivors
Medicaid is a joint federal–state program that provides comprehensive health coverage for certain individuals, including those with limited incomes and disabilities. The vast majority of those with Medicaid who can ... by cancer could be locked out of coverage In 2023, over 16% of working-age Americans with a history of cancer relied on Medicaid for their health care. [iv] Many of these individuals impacted by cancer are physically unable to hold a job or engage in a job search – and while some may be ...
Step Therapy in Medicare Part D Oncology Drugs
Executive Summary Escalating drug costs in the United States are placing pressure on both the federal government and health plans to implement strategies aimed at controlling drug expenditures and optimizing utilization. Utilization management (UM) tactics are ... SNPs provide the same Medicare Parts A and B coverage for beneficiaries as other MA plans but also offer tailored benefits and coordinated care for beneficiaries that have specific health conditions or meet other requirements. Step Therapy in Medicare Part D Oncology Drugs ...
Survivor Views: One in Ten Impacted by Recent Drug Shortages
... drug shortages at 22%. Among those who have been impacted by drug shortages in the past year, 57% say the shortage was related to their cancer care, including medications to treat cancer as well as its side effects and complications. Nearly a third of those experiencing drug shortages ... that they would otherwise have addressed in an office visit. While most of those telehealth visits (78%) took place during the Covid-19 Public Health Emergency (PHE), the number reporting telehealth visits conducted outside of the PHE climbed from 15% prior to the PHE to 40% who have ... to have telehealth visits since the end of the PHE in May 2023. Forty-two percent say they plan to continue using telehealth visits with health care providers about issues related to their cancer. Fifteen percent of those surveyed have seen a provider located in a different ...
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 ...
Smoke-free Laws: Everyone Has the Right to Breathe Clean, Smoke-free Air
... exposure to secondhand smoke increases lung cancer risk by about 20%. [vii] Secondhand smoke can also cause or exacerbate a wide range of other health issues, including cardiovascular disease, stroke, respiratory infections and asthma. The lack of comprehensive tobacco control laws contributes to tobacco-related health disparities or worse health outcomes that include various types of cancers, disease, disability, and premature death. [viii] Current ... encourage and increase smoking cessation success among adults trying to quit [xv] , [xvi] , [xvii] , [xviii] , [xix] , [xx] and reduce health care, cleaning and lost productivity costs. [xxi] Smoke-free laws also have been proven to reduce the incidence of coronary events among people ...
Utilization Management in Breast Cancer and Hepatocellular Carcinoma
Executive Summary Utilization management (UM) refers to a variety of practices that health plans and pharmacy benefit managers employ to confirm the use of specific drugs or services aligns with the payer’s policy. Plans can use ... necessary, or to limit utilization of high-priced, specialty medications. UM use in oncology may have unintended consequences to patient care, such as delaying patient access to medication or increased administrative burden for the patient and provider. Prior to 2019, Medicare ...
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 ...
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