DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Pediatrics
Current Location:
> This Story

Log in or Register to rate this News Story
Forward Printable StoryPrint Comment




Rad Oncology Homepage

New proton therapy center planned in Russia Investment calls for 7.5 billion rubles to bring greater cancer care to patients

NYC proton facility opens for business $300 million dollar, 140,000 square-foot facility was ten years in the making

Roche and GE Healthcare release NAVIFY Tumor Board 2.0 Supports personalized treatment decision-making

Cancer mortality for men, women and children on the decline, says report Decreased by 1.8 percent in men and 1.4 percent in women

Japanese startup to develop ultra-compact proton therapy system Designed to replace conventional radiotherapy systems

FDA okays Philips' MR-only radiotherapy simulator, MRCAT pelvis Create treatment plans for bladder, rectal, anal and cervical cancer

Varian to acquire Cancer Treatment Services International for $283 million Enables production of multidisciplinary solutions

Varian acquires CyberHeart, enters cardiac radioablation market Emerging technology could benefit treatment of irregular heartbeats

New 12-year study highlights value of PRRT, based on long-term outcomes Understanding peptide receptor radionuclide therapy

RefleXion Medical secures $60 million for approval and launch of BgRT system Can detect and treat multiple tumors in the same session

A new bill aims to reduce prior
authorization delays to cancer

Bill aiming to reduce prior authorization delays for cancer treatment introduced in Congress

by John R. Fischer , Staff Reporter
A group of U.S. representatives have introduced a new bill that proposes a plan for reducing obstacles to cancer care, including restrictive prior authorization practices.

Named The Improving Seniors’ Timely Access to Care Act of 2019, the bipartisan federal legislation aims to reform prior authorization to prevent unnecessary delays in patient access to critical cancer treatments, and enable radiation oncologists and other clinicians to use their clinical judgment to prescribe the best course of treatment for patients.

Story Continues Below Advertisement


Special-Pricing Available on Medical Displays, Patient Monitors, Recorders, Printers, Media, Ultrasound Machines, and Cameras.This includes Top Brands such as SONY, BARCO, NDS, NEC, LG, EDAN, EIZO, ELO, FSN, PANASONIC, MITSUBISHI, OLYMPUS, & WIDE.

“There is legitimate concern that the administrative burdens associated with prior authorizations might sometimes result in physicians feeling forced to provide lower value care to avoid extra delays for approval of care that they believe to be more clearly in the patient’s best interest,” Brian D. Kavanagh, the immediate past chair for the ASTRO Board of Directors, told HCB News. “The physician is balancing what they believe to be the best possible, most personalized course of treatment against the patient’s mounting anxiety about delayed access to treatment. It is frustrating that the initial denials imposed by benefits managers often occur because they use guidelines that are outdated and lag behind currently accepted practice standards.”

More than nine out of 10 physicians experience delays in providing lifesaving treatments to their patients due to prior authorization, with one-third equating the average delay to longer than one week, according to a nationwide survey conducted by ASTRO. Each week of delay in starting cancer therapy causes a 1.2 to 3.2 percent increase in the likelihood of death, and adds stress and anxiety to patients who are already concerned about their health.

Doctors or staff members who object to these delays or denials can file appeals for review at a higher level within the Radiation Oncology Benefits Managers (ROBMs). Many, however, are often forced to consult with one or more individuals who may or may not have any training in oncology, while patients are left waiting, with no guarantees that they will receive treatment. This adds emotional distress and prolongs symptoms that can adversely impact their quality of life.

The new legislation seeks to increase transparency in the prior authorization process by making clear what the regulations of the ROBMs are to help clinicians in their decision-making. It also aims to reduce unnecessary delays for patients covered by Medicare Advantage plan by requiring the plans to relay relevant information, including annual disclosure of medical treatments subject to prior authorization; the percentage of requests that are approved and denied; and the average time for approval. In addition, it supports the use of an electronic prior authorization process to streamline decisions and avoid unnecessary delays for certain procedures.

“The best effects of the bill for patients would be to mandate speed and transparency on the part of the companies engaged in managing health insurance benefits for those suffering from cancer and other serious medical conditions,” said Kavanagh. “We hope some of the current built-in inefficiencies and delays with the current system can be eliminated so that patients can receive care in a timely manner without unnecessary added angst.”

The bill has been endorsed by several leading health providers, patient advocacy groups, and other organizations, and was introduced by Rep. Suzan DelBene (D-Wash.), Rep. Mike Kelly (R-Pa.), Rep. Roger Marshall, MD (R-Kan.) and Rep. Ami Bera, M.D. (D-Calif.).

“As a doctor, I’m proud to be co-sponsoring this long-needed legislation to help relieve administrative burdens on practicing physicians,” said Rep. Ami Bera in a statement. “Physicians spend far too much time on burdensome paperwork and seeking authorization on certain items, when they can be spending that time taking care of their patients. This bill modernizes the process, and is a win for physicians and patients.”

Rad Oncology Homepage

You Must Be Logged In To Post A Comment

Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Gold Service Dealer Program
Receive RFP/PS
Healthcare Providers
See all
HCP Tools
A Job
Parts Hunter +EasyPay
Get Parts
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to, Inc. Copyright ©2001-2019, Inc.