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Finding Value in Oncology Treatments

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Unlike many other areas in health care, the practice of oncology presents unique challenges that make assessing and improving value especially complex.

First, patients and professionals feel a well-justified sense of urgency to treat for cure, and if cure is not possible, to extend life and reduce the burden of disease.

Second, treatments are often both life sparing and highly toxic.

Third, distinctive payment structures for cancer medicines are intertwined with practice.

Fourth, providers often face tremendous pressure to apply the newest technologies to patients who fail to respond to established treatments, even when the evidence supporting those technologies is incomplete or uncertain, and providers may be reluctant to stop toxic treatments and move to palliation, even at the end of life.

Finally, the newest and most novel treatments in oncology are among the most costly in medicine.


"Assessing and Improving Value in Cancer Care: Workshop Summary" summarizes the results of a workshop that addressed these issues from multiple perspectives, including those of patients and patient advocates, providers, insurers, health care researchers, federal agencies, and industry. Its broad goal was to describe value in oncology in a complete and nuanced way, to better inform decisions regarding developing, evaluating, prescribing, and paying for cancer therapeutics.








Start reading online free!





























































Front Matter
















i-xvi  







1 Introduction
















1-2 (skim)







2 Opening Remarks: What Is Value in Cancer Care and Why Is It Important?
















3-6 (skim)







3 Clinician-Patient Communication and Its Influence on Value
















9-22 (skim)







4 Generating Evidence About Effectiveness and Value
















23-32 (skim)







5 Value and the Oncology Market
















33-54 (skim)







6 Value in Oncology Practice: Oncologist and Health Insurer Perspectives
















55-68 (skim)







7 Ethical Issues and Value in Oncology
















69-82 (skim)







PART II:Solutions for Value in Cancer Care
















83-84 (skim)







8 Improving Value in Oncology Practice: Ways Forward
















85-108 (skim)







9 Toward a Shared Understanding of Value
















109-116 (skim)







Acronyms
















117-118 (skim)







Glossary
















119-124 (skim)

National Academies Press makes the  "Cancer Care" book available for reading online, or for purchase.

Tips for Dental Insurance

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According to "YourDentistryGuide.com", the mere thought of out-of-pocket expenses prevents many Americans from receiving routine and necessary dental treatment.  This is especially true for seniors,  In Los Angeles, the county aging department found that 61% of seniors do not have dental insurance. 

Dental Plans

Various dental insurance plans are available and are designed to help offset the costs associated with necessary dental care. 

Plans have limitations on allowed services:

  • The number of dental visits
  • Radiographs (X-rays)
  • Treatments covered

Just like medical insurance plans, some dental insurance plans only reimburse patients when the least expensive treatment alternative is selected.  Other dental plans do not provide coverage for necessary treatments of pre-existing conditions.

Flexible Spending Accounts

You may not be aware that you have flexible spending account options available through your employer for dental or medical needs. Check with your employer to see if a flexible spending account is an option for you.

The types of dental insurance plans available include the following:

Dental Insurance Plan Choices:

  • Indemnity Plan: Select your own dentist in fee-for-service that includes limitations and co-payment options. 
  • Self-Insurance Plan: Similar in nature to indemnity plans, but you might not be able to select your own dentist.
  • Closed Panel Plan: A specific group  of dentists are available to you.
  • Capitation Plan: Designate specific dentists for intervals of treatment. 
  • Preferred Provider Organization (PPO): PPO dental plans are limited to a group of dentists  who provide dental care at a reduced cost.
  • Direct Reimbursement Plan: Employers  directly reimburse employees for dental services they receive.
  • Dental Care Service Plan: Use a group of dentists who form a non-profit organization to provide dental services at set fees.


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