Thoughts from COA
New Survey Shows Sequester Cut to Cancer Care Impacting Patients and Practices
COA released a new survey showing that 69% of community oncology practices are making changes to operations and patient care as a result of the sequester cut. These changes include being forced to send patients elsewhere for treatment, laying off staff, and reopening discussions with hospitals to merge. The survey shows that if the sequester cut to cancer drugs stays in place through July 2013, more practices will be forced Read More
 

May 23, 2013: Cancer Patient Protection Act of 2013 Has 74 Cosponsors

Created on: Thursday, May 23, 2013

Congresswoman Renee Ellmers (R-NC) bill, the Cancer Patient Protection Act of 2013 (H.R. 1416), continues to add cosponsors to stop the application of the sequester cut to cancer drugs. The bill is gaining support in the House.

(Read More)

May 23, 2013: Children Are Dying

Created on: Thursday, May 23, 2013

Special report: Because of nationwide shortages, Washington hospitals are rationing, hoarding, and bartering critical nutrients premature babies and other patients need to survive. Doctors are reporting conditions normally seen only in developing countries, and there have been deaths. How could this be allowed to happen?

(Read More)

May 23, 2013: The Gross Domestic Product and Health Care Spending

Created on: Thursday, May 23, 2013

How much will the United States spend on health care during the next decade or two? The answer matters greatly to physicians, federal and state governments, businesses, and the general public. The

(Read More)

May 23, 2013: Capturing Cancer Data in Real Time

Created on: Thursday, May 23, 2013

In October 2012, the University of Kentucky launched the country’s first working model for EHR reporting of cancer cases to a state’s cancer registry. The project marks a milestone in the operation of cancer registries, institutions that have been collecting and analyzing cancer-related data for nearly 100 years.

(Read More)

May 23, 2013: CT Scans Reduce Lung Cancer Deaths, Study Confirms

Created on: Thursday, May 23, 2013

Physicians weighing the benefits and risks of CT scans for detecting lung cancer now have more information to help with the decision. A new analysis of a 2010 U.S. study finds that low-dose CT scans pick up significantly more lung tumors than chest X-rays do.

(Read More)

May 22, 2013: Sequester to Hit Medicare Intensely

Created on: Wednesday, May 22, 2013

Mandatory sequestration cuts just started kicking in. About $85 billion will eventually be excised from the national budget. And about $10 billion of these cuts will fall on Medicare and the many seniors who depend on it.

(Read More)

May 22, 2013: Doctors flee Medicare system

Created on: Wednesday, May 22, 2013

Among 
President Obama’s broken promises, there is this gem of June 15, 2009: “no matter how we reform health care, we will keep this promise: if you like your doctor, you will be able to keep your doctor. Period.”

(Read More)

May 22, 2013: Maryland practice follows trend, won’t follow patients in the hospital

Created on: Wednesday, May 22, 2013

No single reason led to the recent decision by Internal Medicine Associates to stop following their patients in the hospital beginning in July, said Dr. A. Austin Pearre Jr.

(Read More)

May 22, 2013: Rep. Cummings Introduces Bill to Reform “Gray Market” Drug Sales

Created on: Wednesday, May 22, 2013

This week, Rep. Elijah E. Cummings, as the top Democrat on the House Committee on Oversight and Government Reform, introduced legislation to address “gray market” drug companies that are taking advantage of the national drug shortage crisis to charge exorbitant prices for drugs used to treat cancer and other life-threatening conditions.

(Read More)

May 22, 2013: Dirty medicine

Created on: Wednesday, May 22, 2013

The epic inside story of long-term criminal fraud at Ranbaxy, the Indian drug company that makes generic Lipitor for millions of Americans.

(Read More)

May 21, 2013: Cancer Patient Protection Act of 2013 Has 73 Cosponsors

Created on: Tuesday, May 21, 2013

Congresswoman Renee Ellmers (R-NC) bill, the Cancer Patient Protection Act of 2013 (H.R. 1416), continues to add cosponsors to stop the application of the sequester cut to cancer drugs. The bill is gaining support in the House.

(Read More)

May 21, 2013: Community Oncology Organizations, Clinics and Patients Support the Bipartisan "Preserve Community Cancer Care Act"

Created on: Tuesday, May 21, 2013

A majority of cancer patients receive their treatment at community clinics. Today, that care is being threatened by a payment calculation in Medicare that has made it increasingly difficult for local clinics to absorb the additional cuts imposed by sequestration.

(Read More)

May 21, 2013: A Blueprint for a More Effective, Physician-Directed Health System

Created on: Tuesday, May 21, 2013

The Physicians Foundation is a nonprofit 501(c)(3) organization that seeks to advance the work of practicing physicians and help facilitate the delivery of healthcare to patients.

(Read More)

May 21, 2013: Medicare proposes limits on hospital observation stays

Created on: Tuesday, May 21, 2013

A Medicare patient would be considered an inpatient after spending at least two midnights in the hospital if the CMS rule change is finalized.

(Read More)

May 21, 2013: No Easy Choices on Breast Reconstruction

Created on: Tuesday, May 21, 2013

By almost any measure, Roseann Valletti’s reconstructive breast surgery was a success. Although it was a protracted process, involving some pain and a nightmarish nipple replacement, she is pleased with how she looks.

(Read More)

May 21, 2013: Healthcare regs move forward

Created on: Tuesday, May 21, 2013

The Obama administration is moving forward with a pair of major Affordable Care Act (ACA) regulations, as Republicans move

(Read More)

May 20, 2013: Community Oncology Organizations, Clinics and Patients Support the Bipartisan “Preserve Community Cancer Care Act”

Created on: Tuesday, May 21, 2013

A majority of cancer patients receive their treatment at community clinics. Today, that care is being threatened by a payment calculation in Medicare that has made it increasingly difficult for local clinics to absorb the additional cuts imposed by sequestration.

(Read More)

May 20, 2013: Update on H.R. 1416: Cancer Patient Protection Act of 2013

Created on: Monday, May 20, 2013

Congresswoman Renee Ellmers (R-NC) introduced a bill (H.R. 1416) that is gathering support in the House to stop the application of the sequester cut to cancer drug reimbursement. In a few short weeks, the bill is gaining support in the House, especially now that Congress has passed legislation to stop flight delays caused by the sequester.

(Read More)

May 20, 2013: Hospital Charges And The Need For A Maximum Price Obligation Rule For Emergency Department & Out-Of-Network Care

Created on: Monday, May 20, 2013

The release of average charges for common procedures in more than 3,000 U. S. hospitals last week by the Centers for Medicare and Medicaid Services (CMS) elicited divergent reactions – not surprisingly. On one hand, it was front-page news for most of the major newspapers: “Hospital Billing Varies Wildly, Government Billing Data Shows,” was the headline in the New York Times.

(Read More)

May 20, 2013: Despite talk, no effort in Congress to change ObamaCare's employer mandate

Created on: Monday, May 20, 2013

Small businesses looking for a break from President Obama’s healthcare law aren’t getting any help from Congress.

(Read More)


Fight the Medicare Sequester Cut to Cancer Care

Created on: Monday, April 01, 2013

On April 1, 2013, CMS applied the Medicare sequester cut to cancer care. All the guidance and materials you requested can be found in the Resource Center on the COA website.

(Read More)

Read the Letter 20 Organizations Sent to Congressional Leadership to Stop Cancer Care Sequestration Cut

Created on: Tuesday, March 19, 2013

According to a recent survey, the sequestration cut to cancer care will have a devastating impact on seniors and their providers, as well as costing Medicare money.

(Read More)

Estimate the Impact of the 2% Medicare Sequester Cut to Your Practice

Created on: Sunday, March 10, 2013

COA is providing a tool that will allow you to estimate the impact of the 2% Medicare sequester payment cut to drugs and services.

(Read More)

Reach Out to Your Representatives to Cosponsor Prompt Pay Solutions Bill (H.R. 800)

Created on: Tuesday, February 19, 2013

All cancer drug reimbursement from Medicare and private payers based on Average Sales Price (ASP) is artificially reduced by the inclusion of manufacturer-to-distributor prompt payment discounts in the calculation of ASP. If you want to correct this problem straining the cancer delivery system, reach out to your Representatives to ask them to cosponsor House bill H.R. 800.

(Read More)

February 15, 2013: Unique Patient Advocacy Track at the Community Oncology Conference - Register Today!

Created on: Friday, February 15, 2013

The Community Oncology Alliance (COA), a non-profit organization dedicated to preserving and fostering community cancer care, today announced details of their national conference that brings together all members of the cancer community: cancer patients, survivors, caregivers, nurses, oncologists, cancer center practice administrators and industry partners. The conference will be held March 22 and 23, 2013 at the Swan & Dolphin Hotels, Disney World, Orlando, Florida.

(Read More)

Attachments

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Evaluate the Impact of Medicare Fee Schedule Changes on Your Practice Using the COA Tool

Created on: Thursday, January 10, 2013

Based on changes to the 2013 Medicare Physician Fee Schedule, including the one-year SGR patch, COA is providing a tool to help you evaulate the impact on your practice.

(Read More)

Register TODAY for the 2013 Community Oncology Conference in Disney World on March 22-23

Created on: Friday, December 21, 2012

Register TODAY for the one, must-attend event for community oncology in 2013. You won't want to miss this jam-packed event, with great presentations and opportunity to network.

(Read More)

Access the Schwartz/Heck SGR Repeal Bill

Created on: Tuesday, July 31, 2012

Representatives Allyson Schwartz (D-PA) and Joe Heck, DO (R-NV) introduced a bill that would permanently repeal the flawed SGR formula, the basis for Medicare reimbursement. This bipartisan Medicare Physician Payment Innovation Actwould avert the 32% SGR payment cut for 2013. Click h...

(Read More)

Coding Help on MUE Relating to CPT Code 96367

Created on: Tuesday, July 31, 2012

During a recent national call of the COA Administrators' Network (CAN), the issue of Medicare payment problems associated with CPT code 96367 was raised. Many practice administrators expressed concern over the rejection of submitted claims that contained more than three (3) sequentially infus...

(Read More)

Contact House and Senate Health Staff

Created on: Tuesday, July 31, 2012

We have pulled together contact information for House and Senate health legislative staff to use in outreach Click here to access contact information for House health staff and click here for Senate contacts. The lists are presented by state by Representative and Senator. Please remember to...

(Read More)

Read the Letters Cancer State Societies Sent to Members of Congress to Stop Cancer Care Cuts

Created on: Tuesday, July 31, 2012

Alabama Arizona (House letter) (Senate letter) California (Southern; sample) Colorado(Coalition of Hematology and Oncology Practices) Colorado State Society (House letter) (Senate letter) Florida (sample; letters sent to individual Representatives and Senators) Georgia Hawaii Iowa ...

(Read More)

Access the Ways & Means Report - Behind the Veil: The AARP America Doesn't Know

Created on: Tuesday, July 31, 2012

House Ways & Means Congressmen Wally Herger (R-CA) and Dave Reichert (R-WA) release their investigative report on AARP. Click here to access.

(Read More)

Watch the Cancer Crisis Video

Created on: Tuesday, July 31, 2012

(Read More)

Read the Latest COA Practice Impact Report

Created on: Tuesday, July 31, 2012

COA has updated its Community Oncology Practice Impact Report documenting the adverse impact due to Medicare public policy. Click here to access the report.

(Read More)

Access the COA “Must Read” List

Created on: Tuesday, July 31, 2012

Here is the COA “Must Read” list for all oncology professionals. Annual Report to the Nation on the Status of Cancer On-line articles: The Cost Conundrum(The New Yorker, 6/1/09) What You Don't Know Might Kill You; The right doctors can make all the differenc...

(Read More)


Promotion of COA’s Director of Patient Advocacy

Created on: Thursday, May 02, 2013

Rose Gerber has been promoted to role of Director of Communications and Patient Advocacy.

(Read More)

COA President Dr. David Eagle - Part 1 Article on the Cost of Cancer Care

Created on: Friday, October 26, 2012

Dr. David Eagle discusses the impact of cancer care on the patient. Part 1 of a series. (Read More)

(Read More)

COA Cancer Practice Impact Quoted in Sequestration Article by NPAF Head

Created on: Wednesday, October 10, 2012

Nancy Davenport-Ennis, CEO of the National Patient Advocacy Foundation, writes that the true targets of the Medicare sequestration cut are cancer patients. In the article she quotes statistics from the COA Practice Impact Report.

(Read More)

COA President Dr. David Eagle Featured in Article on Cancer Care Consolidation

Created on: Wednesday, October 10, 2012

The COA President speaks out on the consolidation of cancer care in this article from OncLive.

(Read More)

How to Fix Cancer Drug Shortages

Created on: Tuesday, July 31, 2012

COA Past President Patrick Cobb and COA Executive Director Ted Okon have been on Capitol Hill with Dr. Mark Thompson talking about how to fix the drug shortages. In this article they talk about specific solutions to the crisis.

(Read More)

COA Board Member Dr. Rick Frame Fights for a Fix to the Cancer Drug Shortages

Created on: Tuesday, July 31, 2012

Cancer drug shortages are adversely impacting patient care. Dr. Frame comments on his experience and calls on Congress to fix the crisis.

(Read More)

Dr. Rick Frame Shares a Moving Experience

Created on: Tuesday, July 31, 2012

Recommended reading of an article penned by COA Board member and practicing oncologist from Utah.

(Read More)

Oncology Medical Home Could Improve Care, Cut Cost

Created on: Tuesday, July 31, 2012

COA President David Eagle, MD discusses the future of community oncology at recent conference.

(Read More)

How Health Care Reform is Changing the Oncology Landscape (and How the Elections May Color the View)

Created on: Tuesday, July 31, 2012

COA Past President Dr. Patrick Cobb and Executive Director Ted Okon discuss the changing face of cancer care. ...

(Read More)

Dr. Patrick Cobb and Ted Okon Handicap Elections, Health Care Reform Fallout, and Year-End Medicare Cuts

Created on: Tuesday, July 31, 2012

We are ticking down on what may be historic elections. Although we are in the middle of a presidential term. ...

(Read More)

COA President Dr. Cobb Quoted in Hill News Story

Created on: Tuesday, July 31, 2012

“The problem with this high-stakes game of chicken is physicians and patients are the ones getting run over, not members of Congress,” says Dr. Cobb about the Medicare SGR debacle.

(Read More)

Government PQRI Quality Reporting Program Getting Short Shrift from Oncologists

Created on: Tuesday, July 31, 2012

COA President Dr. Patrick Cobb relates experiences with PQRI in oncology.

(Read More)

How Will Cancer Care Fare Under Health Care Reform?

Created on: Tuesday, July 31, 2012

COA President Dr. Patrick Cobb and Executive Director Ted Okon review the new law and its impact on cancer care.

(Read More)

Coverage of Oral, IV Oncology Drugs Can Hinder Patient Compliance

Created on: Tuesday, July 31, 2012

COA President Dr. Patrick Cobb quoted on major oral cancer drug study sponsored by COA. ...

(Read More)

Doctors worry that Medicare cuts will wound their practices

Created on: Tuesday, July 31, 2012

Dr. Barbara McAneny fears that she and other doctors in private practice might soon be out of business.

(Read More)

Cuts in cancer care a move in the wrong direction of health care reform, says COA

Created on: Tuesday, July 31, 2012

The Community Oncology Alliance (COA) today criticized the newest round of cuts in cancer care as a move in the wrong direction of health care reform. Although not as devastating as expected, the cuts by the Centers for Medicare and Medicaid Services (CMS) ...

(Read More)

COA President Dr. Patrick Cobb and Executive Director Ted Okon Interviewed on Cancer Care Crisis

Created on: Tuesday, July 31, 2012

Listen to the radio broadcast with Dr. Robert Warner on “House Calls.”

(Read More)

COA Past President Dr. Harry Barnes Interviewed on Cancer Care Crisis

Created on: Tuesday, July 31, 2012

Watch this TV interview on the problems facing community oncology practices. ...

(Read More)

Listen to Radio Interview with COA President Dr. Cobb and Executive Director Ted Okon

Created on: Tuesday, July 31, 2012

(Read More)

Watch Dr. Gary Gross, Blood & Cancer Center of East Texas, Interview on Healthcare Reform.

Created on: Tuesday, July 31, 2012

(Read More)

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May 22, 2013: Oklahoma Tornado Fallout: The Sequester Cut Disaster Assistance and Weather-Warning Funds

Created on: Wednesday, May 22, 2013

As disaster personnel and volunteers comb through the havoc left by the tornadoes that tore through Oklahoma on Sunday and Monday, they are going to rely on critical federal funding that was severely cut by the massive cuts known as sequestration.

(Read More)

May 22, 2013: Military Not Created Equal Under Sequestration

Created on: Wednesday, May 22, 2013

U.S. prioritizes funding for China, North Korea threats despite growing dangers from Venezuela, Iran.

(Read More)

May 22, 2013: Sequestration is imperiling scientific research — and economic growth

Created on: Wednesday, May 22, 2013

Congress’ recent action to allow the Federal Aviation Administration (FAA) to avoid furloughs of air traffic controllers is an indication that the fiscal sequester is starting to bite.

(Read More)

May 21, 2013: ‘We May Have To Close Schools’: Five Districts That Are Grappling With Sequestration’s Budget Cuts

Created on: Wednesday, May 22, 2013

While many public schools will be able to stave off some of the harshest impacts of sequestration with other sources of revenue, those that serve military families and Native American communities are in a much more difficult situation. That’s because they rely heavily on federal Impact Aid.

(Read More)

May 21, 2013: HUD offices statewide to close May 24 due to sequestration, six more furlough days planned

Created on: Tuesday, May 21, 2013

The U.S. Department of Housing and Urban Development is taking an all-or-nothing approach to handling sequestration and furloughs.

(Read More)

May 20, 2013: Poll: Obama at 53 percent approval after week of controversies

Created on: Monday, May 20, 2013

A new poll shows a majority approving of President Obama's job performance after a week where his administration faced a tough trio of controversies.

(Read More)

May 20, 2013: Scandal-shocked House Democrats fear for 2014

Created on: Monday, May 20, 2013

Democrats aiming to retake the House next year against all odds tried to reassure themselves after President Barack Obama’s week from hell: The election is still 18 months away, plenty of time for Republicans to turn today’s gift into tomorrow’s albatross.

(Read More)

May 17, 2013: Obama seeks to weather storm

Created on: Friday, May 17, 2013

President Obama flatly declared Thursday he was unaware of the Internal Revenue Service's targeting of politically conservative groups.

(Read More)

May 16, 2013: Boehner pleads for unity among House Republicans on debt ceiling

Created on: Thursday, May 16, 2013

Speaker John Boehner (R-Ohio) on Wednesday pleaded with House Republicans to unify around a debt-ceiling plan, telling his conference that he did not want to have to rely on Minority Leader Nancy Pelosi (D-Calif.) to help pass legislation.

(Read More)

May 15, 2013: OVERNIGHT HEALTH: GOP pounces on Sebelius's fundraising

Created on: Wednesday, May 15, 2013

Three congressional committees are now investigating the fundraising pitches Health and Human Services Secretary Kathleen Sebelius has made on behalf of an outside group promoting ObamaCare.

(Read More)

May 15, 2013: Controversies threaten President Obama's second-term agenda

Created on: Wednesday, May 15, 2013

The White House was besieged Tuesday by three controversies that threatened President Obama’s second-term agenda and his administration’s credibility.

(Read More)

May 14, 2013: New “Grace Period” For ACA Implementation in Mass

Created on: Tuesday, May 14, 2013

These are strange days in healthcare. Even the Boston Globe is starting to push back on and question the one-size fits all approach of the ACA. See the editorial from Sunday’s paper below.

(Read More)

May 13, 2013: President Obama stares down the second-term curse

Created on: Monday, May 13, 2013

President Barack Obama genuinely believed he could buck the second-term curse of fecklessness and scandal that afflicted the last three two-term presidents, even if history — and his adversaries — suggested otherwise.

(Read More)

May 10, 2013: Democratic strategist: Party 'in decline'

Created on: Friday, May 10, 2013

One of the Democrats’ most veteran strategists warns that the party is “in decline” and “at considerable risk” when President Barack Obama is no longer on the scene.

(Read More)

May 10, 2013: Cancer Vaccines Get a Price Cut in Poor Nations

Created on: Friday, May 10, 2013

The two companies that make vaccines against cervical cancer announced Thursday that they would cut their prices to the world’s poorest countries below $5 per dose, eventually making it possible for millions of girls to be protected against a major deadly cancer.

(Read More)

May 10, 2013: John Boehner: Health care law repeal vote is for new lawmakers

Created on: Friday, May 10, 2013

House Speaker John Boehner said Thursday that next week’s vote to repeal the health reform law is being held to provide new lawmakers a chance to vote on it.

(Read More)

May 8, 2013: White House threatens veto of GOP bill to defuse debt-limit fight

Created on: Wednesday, May 08, 2013

The White House would likely veto a Republican attempt to defuse the debt limit, arguing the bill is just a "default by another name."

(Read More)

May 7, 2013: 10 people to watch in debt showdown

Created on: Tuesday, May 07, 2013

The 2013 debt-limit fight has begun. Powerful policymakers on both sides of the aisle are jockeying for position in what will be a defining moment for the 113th Congress.

(Read More)

May 7, 2013: Sequestration cuts expected to hit job market over summer

Created on: Tuesday, May 07, 2013

The sequester will take a bigger bite from the economy in the coming months as workers collect more unpaid leave and additional spending cuts are triggered, several economic experts predicted Monday.

(Read More)

May 6, 2013: Emil Frei III, Who Put Cancer Cures in Reach, Dies at 89

Created on: Monday, May 06, 2013

Dr. Emil Frei III, an oncologist whose trailblazing use of combination chemotherapy — in which anticancer drugs are administered simultaneously rather than singly — helped make certain cancers curable for the first time, died on Tuesday at his home in Oak Park, Ill. He was 89.

(Read More)

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Latest Videos
COA EXECUTIVE DIRECTOR TED OKON TESTIFIES TO HOUSE COMMITTEE ON DRUG SHORTAGES
February 4, 2012
Ted Okon urges Congress to address the drug shortage crisis immediately. View more here... http://www.youtube.com/watch?v=E1Ra4z-s1zA.
COA PAST PRESIDENT DR. PATRICK COBB PROVIDES THE ONCOLOGIST PERSPECTIVE IN TESTIMONY TO THE SENATE FINANCE COMMITTEE
February 4, 2012
Dr. Cobb talks about the impact of the drug shortages on the lives of cancer patients. Support COA's efforts by visiting http://www.youtube.com/watch?v=giMJ52fBQ4c.
Carreen talks about the crisis in cancer care.
November 2, 2011
She's asking Congress to stop cancer care cuts. Support her efforts by visiting http://bit.ly/sl9fOB.
7/3/2012 10:33:54 AM
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