The burden of cancer isn’t just cancer

Source: www.news.doximity.comAuthor: Carolyn Y. Johnson Money is low on the list of things most people want to think about after a doctor says the scary word "cancer." And it's not just patients — physicians also want to weigh the best treatment options to rout the cancer, unburdened by financial nitty gritty. But a growing body of evidence suggests that, far from crass, ignoring cost could be harmful to patients' health. In the age of $10,000-a-month cancer drugs and health plans that shift more of the cost of health care onto patients, research suggests we've been underestimating one of cancer's real harms: "financial toxicity." The financial difficulties that stem from dealing with cancer can lead people to avoid or delay care or drugs, studies suggest, and also may cause stress that can lead to mental and physical health problems. "When people are diagnosed, it behooves the provider to assess their financial risk at baseline — to find out if they’re at risk, and if they are, to be very aggressive with getting them to financial planning, to patient assistance programs to reduce their likelihood of having financial devastation," said Scott Ramsey, a health economist and physician at the Fred Hutchinson Cancer Research Center in Seattle who showed in 2013 that people with cancer are 2.65 times more likely to file for bankruptcy than people without cancer. "We think unless you do, it’ll be hard to keep people from ending up in this situation." For years, the evidence has accrued that cancer patients experience greater financial challenges than other groups of sick people. A study in the Journal of Clinical Oncology found [...]

2016-04-11T10:54:10-07:00April, 2016|Oral Cancer News|

Bankruptcy Rate Doubles With Cancer Diagnosis

Nick MulcahyMay 15, 2013Medscape Today  Adults diagnosed with cancer are 2.65 times more likely to declare bankruptcy than adults without cancer, according to a new study. In addition, bankruptcy rates are 2- to 5-fold higher among younger cancer patients than among older cancer patients, report the study authors, led by Scott Ramsey, MD, PhD, an internist and health economist at the Fred Hutchinson Cancer Research Center in Seattle, Washington. Dr. Ramsey and colleagues used various databases to match cancer patients diagnosed from 1995 to 2009 with adults without cancer in western Washington. Of 197,840 adults who were diagnosed with cancer in that region during the study period, 4408 (2.2%) filed for bankruptcy protection after diagnosis. Of the age- and sex-matched control population without cancer, only 2291 (1.1%) filed for bankruptcy. "This study found strong evidence of a link between cancer diagnosis and increased risk of bankruptcy," the authors write in their paper, which was published online today in Health Affairs. The relation between a cancer diagnosis and bankruptcy is less well understood than that between high medical expenses and the likelihood of a bankruptcy filing, according to a press statement. "This is an important study," said Melissa Jacoby, JD, from the University of North Carolina School of Law in Chapel Hill, in an email to Medscape Medical News. She is is an expert in bankruptcy, but was not involved in this research. The relative — not the absolute — rate of bankruptcy among cancer patients is most notable here, she said. "Remember that bankruptcy filings, at [...]

2013-05-20T13:53:29-07:00May, 2013|Oral Cancer News|

Oral cancer patient fights Medicare for coverage

Source: Dr.Biscuspid.com By Donna Domino, Features Editor November 6, 2012 -- Hank Grass has so far successfully fought his submandibular cancer. But the retired policeman is now facing bankruptcy in his losing battle to get Medicare to cover the oral surgeries, dental treatments, and dentures he needs following radiation treatment. The 77-year-old had his salivary gland removed after doctors found cancer at the base of his tongue three years ago. But the radiation and chemotherapy damaged his teeth and gums so much that he had to have all but three of his bottom teeth extracted. Recently, Grass needed periodontal surgery to treat an infection he developed in his mandible from radiation treatments. After Hank Grass developed submandibular cancer, radiation therapy caused osteoradionecrosis, requiring the extraction of all but three of his bottom teeth. All images courtesy of Hank Grass. So far, Grass has spent $8,000 for the dental treatment and dentures, but Medicare won't reimburse him, saying his dental work was not medically necessary and is cosmetic. And since Medicare has refused payment, Grass' insurance company also has refused to cover the dental procedures. "I've been through a living hell," he told DrBicuspid.com. "We're pinching pennies; we're in bankruptcy." Five doctors -- including his dentist, oncologist, oral surgeon, and the doctor who administered chemotherapy -- submitted letters confirming that Grass' dental procedures were directly related to his cancer treatments. But it was to no avail, he said. "You don't have to be a rocket scientist to look at all the [...]

2012-11-07T12:40:04-07:00November, 2012|Oral Cancer News|
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