Trends Update September 9, 2020 F. Randy Vogenberg, PhD - - PowerPoint PPT Presentation

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

• Manage ”Care” and Costs
• Payers are not Negotiators
• PBM – gross-to-net bubble
• Biosimilars
• Stop Loss use
• Case type point solutions
• ”PA” and “white bagging”
• Determining what works
• Alternative Risk contracting

NEAR FUTURE Balanced, holistic management Employers need to be engaged

Only winner is the PBM

Window closing on savings Limited solution, more costly Complete strategy needed Trusted partner wanted Meaningful measures, “value” Simplify, direct contracting

Employers are Expecting Structural Changes

One significant care delivery shift is Telemedicine1,2

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

Sept 2021 Nov Mar May Jul

Positive Covid19 Tests in the US by Month and Day

20 K 80 K 60 K 40 K

From: https://coronavirus.jhu.edu/map.html Projections for Discussion Only Pessimistic Optimistic

• 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.

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AGENDA

• COVID-19
• Information
• Access to Care
• Support Programs
• Advocacy
• Fundraising Efforts

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Cancer hasn’t stopped. So neither have we.

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COVID-19- following CDC

recommendations

Uniting as partners through this

pandemic

Hope Lodge- Giving back to the

medical community, staying safe.

INFORMATION

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24/hours 7 day a week

Cancer Helpline

• Cancer Information Specialist

Available 24 hours a day 7 days a week, 365 days a

• year. Online Chat in English, Spanish, and more

than 200 other languages via translation service.

• 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

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Access to Care Lodging & Transportation

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Hope Lodge

Free nurturing home away from home for cancer patients and their caregivers

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!

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ACS My Journey powered by Pack Health

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HEALTH COACHING Digital health coaching that complements existing care networks aimed at improving patient health goals.

• 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.

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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
• rdering/shipping.
• More to come about this program soon!

Wig Program

Online Communities And Support for your patients

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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.

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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.

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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 *

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Questions?