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Medical Oncology Program Overview


Program Overview | Utilization and Quality Management | Case Study | Pathforward Cancer Pathways | Drug Pricing Programs |  Program Tools and Criteria

The cost of cancer care is increasing at an alarming rate. As the population ages the number of new cancer cases increases, accelerating the use of both current drugs and new, more expensive treatments. While there are no simple answers, the most effective approach to managing this rising cost segment lies in appropriate utilization of high cost oncology and adjunctive therapy drugs along with managed reimbursement plans.  All of CareCore National’s Medical Oncology programs have been designed by and are overseen by board-certified hematologists and oncologists.


CareCore National Medical Oncology Management Program includes:

  • PathForward evidence-based clinical pathways to determine appropriate plans of care
  • Implementing evidence-based criteria to manage the appropriate use and safety of high cost injectable drugs covered under both pharmacy and medical benefits
  • Initiating appropriate injectable drug reimbursement methodologies, policies, procedures and tracking

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