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

This survey depicts the most frequent approaches by managed care organizations (MCOs) to keep members with cancer well managed in the United States, as of 2015. The survey shows that 79.5 percent of the MCOs introduced case/care management of complex cases (eg, classified as high risk/high cost).

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 services48.2%
Specialty pharmacy drug adherence programs43.4%
Case/care management of all members with cancer37.3%
Concurrent utilization management while member undergoes chemotherapy37.3%
Promote advance care planning31.3%
Personal care coordinators to help patients navigate care26.5%
Promote use of home health as the third locus of care, as appropriate19.3%
Integrated care management between primary care physicians and oncologists18.1%
Financial advocacy through patient assistance programs via specialty pharmacy18.1%
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Source

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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