A Little Over 50% of Oncologists in the U.S. Support Key Consolidated Payments for Cancer Care Management Proposed By the ASCO Payment Reform

New Ipsos Healthcare Survey Reveals Oncologist Perceptions of Payment Models for Cancer Care, Including the ASCO Payment Reform

Monday, February 09, 2015

Washington, DC – A survey conducted by Ipsos Healthcare in August/September 2014 in the U.S. revealed that 47% of oncologists (strongly/somewhat) support the American Society of Clinical Oncology (ASCO) Payment Reform’s ‘New Patient Payment’, 57% support ‘Treatment Month Payment’ and 55% support ‘Active Monitoring Month Payment’, while 54% support ‘Transition of Treatment Payment’. The majority of the oncologists however support ‘Clinical Trial Payment’ (75%) and preservation of separate payments for tests, major procedures and drug reimbursement under prevailing payment methods (70%). While ranking different payment models, oncologists still ranked the traditional “fee-for-service” system as the most preferred, followed by the Consolidated Payment Model introduced by ASCO, Episode Payment Models, Condition-based Payment Models, and use of ‘Case Rates’, in that order.

Two hundred and thirty one oncologists (medical oncologists: 32%; Hemato-Oncologists: 68%) were randomly sampled across the U.S. in a cross-sectional survey assessing their perceptions of payment models for cancer care, the most pressing issues facing the future of oncology care in the U.S., and what may constitute “value” of new cancer drug.

“ASCO introduced its payment reform with an admirable goal to enable medical oncology practices to deliver high-quality, patient-centered care at a more affordable cost, reduce administrative costs for both practices and payers, and help make oncology practices financially sustainable so that patients can continue to obtain high-quality cancer care in their community,” says Siva Narayanan, who leads the Evidence Generation, Value and Access Center of Excellence at Ipsos Healthcare. “Our survey revealed that the current fee-for-service model of cancer care is engrained in the minds/habits of oncologists; adequate education on viable alternative payment models may take some time and is probably warranted to achieve a consensus among practicing oncologists and accelerate adoption to meet their intended objectives.”

In the Ipsos survey, oncologists identified “increasing cost of drug prices” (69%), “growing demand for cancer services” (57%) and “cost of care and payer pressures” (53%) as the three most pressing issues facing the future of oncology care in the U.S. In their opinion, clinical efficacy, followed by safety/tolerability and impact on quality of life are the top three attributes constituting the “value” of new cancer drugs; oncologists ranked ‘cost-effectiveness’ of the drug as the least important attribute.

“Practicing oncologists face the classic dilemma of providing the best cancer treatments to their patients, while balancing the escalating cost of care and the cost of maintaining a financially viable practice, amidst increasing demand for cancer services. This is not an easy task, and this pressure may be influencing the oncologists’ perceptions towards individual payment models,” concludes Narayanan. “When we solicited open-text comments from the oncologists concerning ASCO reform, 74% provided some comments, and within this group, 60% provided positive/constructive feedback, while 15% and 24% provided neutral and negative feedback, respectively. We are planning to share these comments from our independent research with the Payment Reform Workgroup within ASCO to fuel the refinement of their proposed payment model to benefit all pertinent stakeholders, and especially the oncologists and their patients.”

For more information on this news release please contact:

Siva Narayanan
Senior Vice President
Evidence Generation, Value and Access Center of Excellence
Ipsos Healthcare

Elen Alexov
Director, Marketing Services
Ipsos in North America
(778) 373-5136

About Ipsos Healthcare’s Evidence Generation, Value and Access Portfolio

Ipsos Healthcare’s Evidence Generation, Value and Access Portfolio focuses on providing insights into payer, physician and patient needs and market barriers - and, accordingly, generates or demonstrates clinical, economic and humanistic value propositions of healthcare products and services for optimal market access across the market segments and therapy areas. The portfolio’s capabilities include traditional secondary research, retrospective and prospective observational cohort studies, cross-sectional surveys, and quantitative/qualitative research in the market access arena, leveraging our access to patients, physicians and payer stakeholders globally.

About Ipsos Healthcare’s Global Oncology Center Of Excellence

With over 100 people dedicated to oncology worldwide – and even more accredited through our Oncology Accreditation Program – Ipsos has the fluency in oncology to meet our clients’ every need. Our Oncology Center of Excellence includes a comprehensive suite of custom capabilities alongside market-leading syndicated services such as the Global Oncology Monitor, the Oncology Molecular Diagnostics Monitor and the Oncology Lab Mapping Study. Our key differentiator is our ability to integrate all oncology solutions to offer in-depth insights that effect tangible change. With unrivalled strength and presence in both developed and emerging markets, we always deliver global expertise with local market knowledge.

About Ipsos Healthcare

Ipsos Healthcare is a global specialized practice focusing on research in the pharmaceutical, bio-tech and medical device markets. It is also a leading provider of global syndicated patient chart studies in 35 markets. Operating in over 40 countries, the team of 500 healthcare research experts, marketers and client-side brand-builders focuses on delivering outcome-oriented research for its clients. Drawing from a broad range of qualitative and quantitative techniques, Ipsos Healthcare offers custom and syndicated research programs to evaluate the motivations, experiences, interactions and influences of stakeholders forming the multi-customer markets that increasingly drive business success in the healthcare industry.

About Ipsos

Ipsos is an independent market research company controlled and managed by research professionals. Founded in France in 1975, Ipsos has grown into a worldwide research group with a strong presence in all key markets. Ipsos ranks third in the global research industry.

With offices in 87 countries, Ipsos delivers insightful expertise across six research specializations: advertising, customer loyalty, marketing, media, public affairs research, and survey management.

Ipsos researchers assess market potential and interpret market trends. They develop and build brands. They help clients build long-term relationships with their customers. They test advertising and study audience responses to various media and they measure public opinion around the globe.

Ipsos has been listed on the Paris Stock Exchange since 1999 and generated global revenues of €1,712,4 million (2 274 M$) in 2013.

Visit www.ipsos.com to learn more about Ipsos’ offerings and capabilities.

A Little Over 50% of Oncologists in the U.S. Support Key Consolidated Payments for Cancer Care Management Proposed By the ASCO Payment Reform

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Elen Alexov
Director, Marketing Services,
North America