Cancer and Employers: Trends Update September 9, 2020 F. Randy Vogenberg, PhD Principal, Board Chair
Furloughs, Layoffs, and Member Concerns Impacting 2020 Employee Care Utilization Not a Change in Benefit Design • 40% of Americans avoided care through July, now recovering • Mississippi in middle of pack with 40% concerned about seeking care • Underspending 2020 health benefits budget • Requires thinking through benefit options for 2021 • Existing employer concern about long term implications, and remaining problematic legal legacies • Telehealth, Sequestration, PPE & Drug shortages, etc.
Punch List of Issues on Cancer Care TODAY NEAR FUTURE o Manage ”Care” and Costs Balanced, holistic management o Payers are not Negotiators Employers need to be engaged o PBM – gross-to-net bubble Only winner is the PBM o Biosimilars Window closing on savings o Stop Loss use Limited solution, more costly o Case type point solutions Complete strategy needed o ”PA” and “white bagging” Trusted partner wanted o Determining what works Meaningful measures, “value” o Alternative Risk contracting Simplify, direct contracting
Employers are Expecting Structural Changes One significant care delivery shift is Telemedicine 1,2 Reimbursement rates currently at parity but Application and Standards need to be clarified for permanency Other care benefit topics are increasingly relevant Cancer screening; cancer practice business stresses & recovery Covid-19 and vaccinations in general for 2020/2021 Looming shortage – plasma fractions for primary or secondary immune deficiencies (B-cell); Covid-19; Multi-symptom Inflamm Cond-children Opportunity for provider leadership on returning to get care by addressing both safety & economic effectiveness 1. https://www.cnbc.com/2020/04/03/telehealth-visits-could-top-1-billion-in-2020-amid-the-coronavirus- crisis.html 2. https://www.cdc.gov/nchs/fastats/physician-visits.htm
Future Based on the “Crystal Ball” is Cloudy Daily Covid19 Positive Tests Projections for Discussion Only From: 80 https://coronavirus.jhu.edu/map.html K Pessimistic 60 K 40 K 20 K Optimistic 0 May Jul Sept Nov 2021 Mar Positive Covid19 Tests in the US by Month and Day • Primary HR Benefit focus is “Back -to- Work” plan and implementation • 2021 Benefit Designs are now being finalized, if not already • Its up to employer plan sponsors to drive market change
Cancer and Employers: Trends Update September 9, 2020 F. Randy Vogenberg, PhD Principal, Board Chair randy@iih-online.com
American Cancer Society Patient Programs Overview Cancer hasn’t stopped. So neither have we. 7
AGENDA • COVID-19 • Information • Access to Care • Support Programs • Advocacy • Fundraising Efforts 8
Cancer hasn’t stopped. So neither have we. COVID-19- following CDC recommendations Drag picture in here Uniting as partners through this pandemic Hope Lodge- Giving back to the medical community, staying safe. cancer.org 9
INFORMATION Cancer Helpline • Cancer Information Specialist 24/hours Available 24 hours a day 7 days a week, 365 days a year. Online Chat in English, Spanish, and more 7 day a than 200 other languages via translation service. week • Registered Oncology Nurse Support Oncology and pediatric oncology nurses assist with the medically sensitive questions. • Health Insurance Assistance Team Help with questions health insurance and coverage. 1.800.227.2345 / cancer.org 10
Access to Care Lodging & Transportation Hope Lodge Free nurturing home away from home for cancer patients and their caregivers Drag picture in here Extended Stay America Our hotel partnership will continue to provide hotel lodging for cancer patients and their loved ones. Rooms are reduced rates of $19-$49, based on market area. Hotel Partner Resources ACS can share a list of hotels in your area that have agreed to provide free/reduced cost lodging to cancer patients undergoing treatment. Ask for more information! cancer.org 11
ACS My Journey powered by Pack Health HEALTH COACHING Digital health coaching that complements existing care networks aimed at improving patient health goals. Drag picture in here • Personalized support for patient's social needs between visits. • Weekly calls • Messaging • Digital content • To enroll, visit packhealth.com/acs or call 855- 255-2362. cancer.org 12
Wig Program Wigs/head coverings to healthcare systems - Provided wigs/head coverings to healthcare systems throughout the state for distribution to patients. Pantene Beautiful Lengths Wigs (Coming Soon!) - Human hair wigs will be free to interested healthcare system with exception of $10 fee & shipping cost. - Working with Pantene to finalize process for ordering/shipping. - More to come about this program soon! cancer.org 13
Online Communities And Support for your patients cancer.org 14
Advocacy efforts in Mississippi ACS CAN is the nonprofit, nonpartisan advocacy affiliate of the American Cancer Society, dedicated to eliminating cancer as a major health problem. ACS CAN works to encourage lawmakers and candidates at the local, state and national level to support laws and policies around the following issues that will make cancer a top national priority: 2020 Mississippi Business Leaders Roundtable | November 17, 2020 Focus | Cancer Prevention This premiere event brings together leaders from the business, education, government, healthcare and advocacy communities to advance the work of ACS CAN. cancer.org 15
Research Efforts in Mississippi CANCER RESEARCH FUNDING CRISIS For the first time in our history, the American Cancer Society research budget is in jeopardy. Deep cuts in our research funding could mean a generation of cancer research lost. A lack of available funding could deter young investigators with big ideas from the cancer research field. For cancer patients, this may dramatically alter the availability of lifesaving treatments. cancer.org 16
Fundraising Efforts in Mississippi In Mississippi, an estimated 17,190 new cancer cases will be diagnosed in 2020, and 6,700 people are expected to die from the disease. But there is hope. With the support of volunteers, donors, and partners, we are fighting cancer on all fronts – and making a difference! Making Strides Against Breast Cancer- Cruising for a Cure - Oct 24 Email Christy.Bridges@cancer.org Swing and Serve for a Cure - Reunion Golf and Country Club Tennis Tournament on Sunday, September 20th at 2:00 p.m. Golf Tournament on Monday, September 21th with registration beginning at 11:00 a.m. with a 1:00 p.m. shotgun start. Email Rachael.keyes@cancer.org *Best Dressed of Jackson * Real Men Wear Pink * cancer.org 17
Questions? 18
Recommend
More recommend
