MCO's frequent approaches to manage cancer members well in U.S. 2015

Major approaches by U.S. managed care organizations (MCOs) to keep cancer patients well managed as of 2015

ApproachesPercentage of respondents
Case/care management of complex cases (eg, classified as high risk/high cost) 79.5%
Pharmacy Medication Therapy Management to monitor drug use and other services 48.2%
Specialty pharmacy drug adherence programs 43.4%
Case/care management of all members with cancer 37.3%
Concurrent utilization management while member undergoes chemotherapy 37.3%
Promote advance care planning 31.3%
Personal care coordinators to help patients navigate care 26.5%
Promote use of home health as the third locus of care, as appropriate 19.3%
Integrated care management between primary care physicians and oncologists 18.1%
Financial advocacy through patient assistance programs via specialty pharmacy 18.1%
Created with Highcharts 7.2.2ApproachesPercentage of respondents79.5%79.5%48.2%48.2%43.4%43.4%37.3%37.3%37.3%37.3%31.3%31.3%26.5%26.5%19.3%19.3%18.1%18.1%18.1%18.1%Case/care management of complex cases (eg, classified as highrisk/high cost)Pharmacy Medication Therapy Management to monitor drug use andother servicesSpecialty pharmacy drug adherence programsCase/care management of all members with cancerConcurrent utilization management while member undergoeschemotherapyPromote advance care planningPersonal care coordinators to help patients navigate carePromote use of home health as the third locus of care, as appropriateIntegrated care management between primary care physicians andoncologistsFinancial advocacy through patient assistance programs via specialtypharmacy
0%10%20%30%40%50%60%70%80%90%
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Release date

2016

Region

United States

Survey time period

June 29 to September 30, 2015

Number of respondents

83 managed care organizations (MCOs)

Method of interview

Online survey

Supplementary notes

The survey in total includes data from following groups: managed care organizations (MCOs), specialty pharmacies (SPs), oncologists, oncology practice managers (OPMs), employers that sponsor health benefits.

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