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November 2018

COA Comments on Revisions to USP General Chapter 797 Pharmaceutical Compounding – Sterile Preparations

Submitted electronically to: CompoundingSL@usp.org Ronald T. Piervincenzi, Ph.D. Chief Executive Officer U.S. Pharmacopeial Convention 12601 Twinbrook Parkway Rockville, MD 20852-1790 Re: Comments to Proposed Revisions to USP General Chapter <797> Pharmaceutical Compounding – Sterile Preparations Dear Dr. Piervincenzi, On behalf of the Board of Directors of the Community Oncology Alliance (COA), we thank you

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October 2018

Cost Differences Associated With Oncology Care Delivered in a Community Setting Versus a Hospital Setting

Florida Cancer Specialists and Research Institute, Gainesville; Xcenda, Palm Harbor, FL; and IntrinsiQ, Fresno, AZ Corresponding author: Lucio Gordan, MD, Florida Cancer Specialists and Research Institute, Division of Quality and Informatics, 6420 W Newberry Rd, Suite 100, Gainesville, FL 32605; e-mail: lgordan@flcancer.com. Disclosures provided by the authors are available with this article at jop.ascopubs.org.

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September 2018

COA Submits Formal Comments on HOPPS Proposed Rule

Submitted electronically to: http://www.regulations.gov The Honorable Seema Verma, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1695-P P.O. Box 8016 Baltimore, MD 21244-8013 Re: Medicare Program: Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Requests for Information on Promoting

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September 2018

COA Formal Comments on 2019 HOPPS Proposed

Submitted electronically to: http://www.regulations.gov The Honorable Seema Verma, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1695-P P.O. Box 8016 Baltimore, MD 21244-8013 Re: Medicare Program: Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Requests for Information on Promoting

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September 2018

COA Comments on 2019 Medicare Physician Fee Schedule

Submitted electronically to: http://www.regulations.gov The Honorable Seema Verma, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1693-P P.O. Box 8016 Baltimore, MD 21244-8013 Re: Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY2019; Medicare Shared Savings Program Requirements;

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August 2018

Pharmacy Benefit Manager Horror Stories – Part IV

The cautionary tale of the Pharmacy Benefit Manager (PBM) system is a lesson not yet learned. The United States’ health care system continues to be strangled by the dark presence of these ever-growing corporate middlemen, siphoning off billions of dollars in profits while leaving behind pain, suffering, anxiety, and despair for the millions of

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July 2018

Community Oncology Alliance Submits Formal Comments on President’s Blueprint to Reduce Drug Prices

RE: Request for Information on U.S. Department of Health and Human Services (HHS) Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs (CMS-2018-0075-0001) On behalf of the Board of Directors of the Community Oncology Alliance (COA), I am submitting this comment letter in response to the U.S. Department of Health and Human Services (HHS)

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May 2018

COA Physician Survey: Medicare Part B Proposals Will Harm Patients, Increase Costs and Bureaucracy

Recently, the Medicare Payment Advisory Commission (MedPAC) and other stakeholders have proposed changes to the Medicare Part B drug reimbursement policy. Two suggested approaches include: Revamping the previously tested Part B Competitive Acquisition Program, now dubbed by MedPAC, as the “Drug Value Program” (DVP). The DVP is described as a pharmacy benefit manager (PBM)

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April 2018

2018 Community Oncology Practice Impact Report

1,653 Community Oncology Clinics and/or Practices Have Closed, Been Acquired by Hospitals, Merged, or Reported Financial Struggles Since 2008 Misguided Public Policies Continue Push and Pull on Community Oncology Practices The 2018 Community Oncology Alliance (COA) Practice Impact Report tracks the changing landscape of community cancer care in the United States. This is the seventh

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March 2018

Letter to CMMI Detailing OCM Concerns

Anand Shah, MD Chief Medical Officer, Center for Medicare & Medicaid Innovation Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, MD 21244 Dear Dr. Shah: On behalf of the Community Oncology Alliance (COA), we are submitting our concerns regarding the Oncology Care Model (OCM) to the leadership at the Center for Medicare

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