Oncology

  • Acute and chronic leukemias
  • Breast cancer
  • Colorectal cancer
  • Hodgkin lymphoma
  • Multiple myeloma
  • Non-Hodgkin’s lymphomas
  • Non-small cell lung cancer
  • Pancreatic neuroendocrine tumor
  • Prostate cancer
  • Renal cell carcinoma
  • Skin cancers: melanoma, advanced basal cell carcinoma
  • Soft tissue sarcoma: gastrointestinal stromal tumor

Requests for economic assessments of oncology products are becoming more widespread as new treatments arise that often increase quality of life and/or life expectancy for cancer patients at additional cost.1-3 It is estimated that cancer costs account for 5% of total US healthcare spending, and as public and private payers attempt to control the costs of cancer care by decreasing reimbursement, there has been an increase in practice referrals to hospitals for chemotherapy treatment.4,5 Payers recognize that this shift back to hospital-based care will likely further increase costs and, as a result, creative collaborations between payers and clinicians are becoming more common.4,6,7 It is clear that oncology products are now being evaluated stringently by payers, as has been true for products in other disease states for some time.

The pharmacists at Aventine have a great depth of experience in the development of dossiers, economic models, and other medical communication materials for oncology products. In addition, we have past experience as clinicians managing patients in outpatient oncology infusion centers and home infusion services relating to oncology treatment support.

Recently, novel biotechnologies, companion diagnostic tests, and biosimilars have garnered attention in the oncology marketplace. Aventine has had the opportunity to work with these types of products to highlight their unique reimbursement needs and budget ramifications through dossier development and modeling. Beyond the goal of achieving formulary acceptance, our focus has also been to maximize payer education for these novel technologies.

References
  1. Shih YC, Halpern MT. Economic evaluations of medical care interventions for cancer patients: how, why, and what does it mean? Cancer. Jul-Aug 2008;58(4):231-244.
  2. Meropol NJ, Schrag D, Smith TJ, et al. American Society of Clinical Oncology guidance statement: the cost of cancer care. J Clin Oncol. Aug 10 2009;27(23):3868-3874.
  3. Reeder CE, Gordon D. Managing oncology costs. Am J Manag Care. Feb 2006;12(1 Suppl):S3-16.
  4. Marsland T, Robbins G, Marks A, Cassell R, Philips DG, King K. Reducing cancer costs and improving quality through collaboration with payers: a proposal from the Florida society of clinical oncology. J Oncol Prac/ASCO. Sep 2010;6(5):265-269.
  5. Association of Community Cancer Centers. 2009 Annual Hospital Summit.  Last accessed 4 Feb 2011.
  6. Center for Health Value Innovation: Information Exchange for Value-Based Design. Last accessed  4 Feb 2011.
  7. Sullivan SD, Yeung K, Vogeler C, et al. Design, implementation, and first-year outcomes of a value-based drug formulary. J Manag Care Spec Pharm. Apr 2015;21(4):269-275.