Thursday, November 30, 2006

TT: patient base expands beyond payment capacity?

According to a new report from Decision resources: "targeted cancer therapies are expanding the oncology market by increasing the age limit for treatment....., more than 80% of oncologists say that the availability of targeted cancer therapies is increasing the number of elderly patients who they treat; 64% of these respondents state that the increase is due to fewer side effects associated with targeted agents compared with chemotherapy.

Hmm....time to expand those market projections

But....

Access is an emerging problem:

"Nearly one-fifth of office-based oncologists are planning to limit treatment of Medicare patients in the next 12 months.

Office-based oncologists report that 16% of their Medicare patients who are candidates for targeted therapies fail to undergo treatment for cost- related reasons, most frequently because the patient cannot afford the copayment or coinsurance," said Mary Argent-Katwala, Ph.D., analyst at Decision Resources. "The extent of this problem varies between therapies: oncologists estimate that 10% of eligible patients fail to receive Avastin because patients cannot afford the copayments or because the drug is not available on the formulary for the desired use; for Sutent, the corresponding figure is 52%."

Wow.


2 issues:

Reimbursement: I wonder if the difference in uptake between Sutent and Avastin is largely explained by Avastin's ~15 month earlier FDA approval, meaning that the drug has had enough time to be added to most formularies. (Or is it the difference between options available to treat CRC (Avastin) vs RCC (Sutent.))

Patient opt-out for treatment based on $$$: I'd be real curious to know if this is an example of patient self-rationing (i.e. they don't see a good cost/benefit return for Avastin or Sutent extending life by a few months), or, is this a consequence of American's poor savings habits, as there is interest in treatment, but no cash available?

9 comments:

Anonymous said...

It is extremely interesting for me to read this blog. Thank author for it. I like such themes and everything connected to this matter. I definitely want to read more on that blog soon.

Anonymous said...

Good day !.
might , perhaps very interested to know how one can manage to receive high yields .
There is no need to invest much at first. You may begin to get income with as small sum of money as 20-100 dollars.

AimTrust is what you need
The firm represents an offshore structure with advanced asset management technologies in production and delivery of pipes for oil and gas.

It is based in Panama with structures around the world.
Do you want to become really rich in short time?
That`s your choice That`s what you really need!

I`m happy and lucky, I started to take up income with the help of this company,
and I invite you to do the same. If it gets down to choose a correct companion who uses your money in a right way - that`s AimTrust!.
I take now up to 2G every day, and my first deposit was 1 grand only!
It`s easy to start , just click this link http://iwecomim.freewaywebhost.com/nemymi.html
and lucky you`re! Let`s take our chance together to get rid of nastiness of the life

Anonymous said...

Hi !.
might , probably very interested to know how one can make real money .
There is no need to invest much at first. You may start to get income with as small sum of money as 20-100 dollars.

AimTrust is what you need
AimTrust incorporates an offshore structure with advanced asset management technologies in production and delivery of pipes for oil and gas.

It is based in Panama with structures everywhere: In USA, Canada, Cyprus.
Do you want to become really rich in short time?
That`s your chance That`s what you desire!

I`m happy and lucky, I began to take up real money with the help of this company,
and I invite you to do the same. If it gets down to select a proper partner utilizes your funds in a right way - that`s it!.
I take now up to 2G every day, and my first investment was 500 dollars only!
It`s easy to join , just click this link http://ibyduhuf.freewaywebhost.com/nahipyw.html
and lucky you`re! Let`s take our chance together to become rich

Anonymous said...

Hi !.
might , probably curious to know how one can manage to receive high yields .
There is no initial capital needed You may commense to get income with as small sum of money as 20-100 dollars.

AimTrust is what you haven`t ever dreamt of such a chance to become rich
AimTrust represents an offshore structure with advanced asset management technologies in production and delivery of pipes for oil and gas.

Its head office is in Panama with structures around the world.
Do you want to become an affluent person?
That`s your chance That`s what you really need!

I`m happy and lucky, I began to get real money with the help of this company,
and I invite you to do the same. If it gets down to choose a correct companion utilizes your savings in a right way - that`s the AimTrust!.
I take now up to 2G every day, and what I started with was a funny sum of 500 bucks!
It`s easy to start , just click this link http://ilelokusib.freecities.com/ilywizih.html
and lucky you`re! Let`s take our chance together to become rich

Anonymous said...

Hello!
You may probably be very curious to know how one can manage to receive high yields on investments.
There is no need to invest much at first.
You may begin to get income with a money that usually is spent
on daily food, that's 20-100 dollars.
I have been participating in one company's work for several years,
and I'm ready to let you know my secrets at my blog.

Please visit my pages and send me private message to get the info.

P.S. I earn 1000-2000 per daily now.

http://theblogmoney.com

Anonymous said...

Good day, sun shines!
There have were times of troubles when I didn't know about opportunities of getting high yields on investments. I was a dump and downright stupid person.
I have never thought that there weren't any need in large starting capital.
Nowadays, I'm happy and lucky , I begin to get real money.
It's all about how to choose a proper partner who utilizes your money in a right way - that is incorporate it in real deals, parts and divides the income with me.

You may get interested, if there are such firms? I have to answer the truth, YES, there are. Please get to know about one of them:
[url=http://theblogmoney.com] Online investment blog[/url]

Anonymous said...

You know what, try Bluetooth jammer to block all spy devices in your home or office.

Anonymous said...

Hi there!
I would like to burn a theme at here. There is such a nicey, called HYIP, or High Yield Investment Program. It reminds of financial piramyde, but in rare cases one may happen to meet a company that really pays up to 2% daily not on invested money, but from real profits.

For several years , I make money with the help of these programs.
I don't have problems with money now, but there are heights that must be conquered . I get now up to 2G a day , and I started with funny 500 bucks.
Right now, I managed to catch a guaranteed variant to make a sharp rise . Visit my web site to get additional info.

http://theinvestblog.com [url=http://theinvestblog.com]Online Investment Blog[/url]

Anonymous said...

Does anything hurt ache?
---------------------------------------------------------
Signature:buy levitra professional online kat