title: Value, Access, and Cost of Cancer Care Delivery at Academic Cancer Centers.
abstract: Key challenges facing the oncology community today include access to appropriate, high quality, patient-centered cancer care; defining and delivering high-value care; and rising costs. The National Comprehensive Cancer Network convened a Work Group composed of NCCN Member Institution cancer center directors and their delegates to examine the challenges of access, high costs, and defining and demonstrating value at the academic cancer centers. The group identified key challenges and possible solutions to addressing these issues. The findings and recommendations of the Work Group were then presented at the Value, Access, and Cost of Cancer Care Policy Summit in September 2015 and multi-stakeholder roundtable panel discussions explored these findings and recommendations along with additional items.
authors.affiliation: From National Comprehensive Cancer Network, Fort Washington, Pennsylvania; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama; City of Hope Comprehensive Cancer Center, Los Angeles, California; Mayo Clinic Cancer Center, Rochester, Minnesota; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio; UC San Diego Moores Cancer Center, La Jolla, California; Patient, City of Hope Comprehensive Cancer Center, Los Angeles, California; and Dana-Farber Cancer Institute, Boston, Massachusetts.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Nardi
authors.affiliation: From National Comprehensive Cancer Network, Fort Washington, Pennsylvania; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama; City of Hope Comprehensive Cancer Center, Los Angeles, California; Mayo Clinic Cancer Center, Rochester, Minnesota; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio; UC San Diego Moores Cancer Center, La Jolla, California; Patient, City of Hope Comprehensive Cancer Center, Los Angeles, California; and Dana-Farber Cancer Institute, Boston, Massachusetts.
authors.forename: Julie A
authors.initials: JA
authors.lastname: Wolfson
authors.affiliation: From National Comprehensive Cancer Network, Fort Washington, Pennsylvania; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama; City of Hope Comprehensive Cancer Center, Los Angeles, California; Mayo Clinic Cancer Center, Rochester, Minnesota; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio; UC San Diego Moores Cancer Center, La Jolla, California; Patient, City of Hope Comprehensive Cancer Center, Los Angeles, California; and Dana-Farber Cancer Institute, Boston, Massachusetts.
authors.forename: Steven T
authors.initials: ST
authors.lastname: Rosen
authors.affiliation: From National Comprehensive Cancer Network, Fort Washington, Pennsylvania; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama; City of Hope Comprehensive Cancer Center, Los Angeles, California; Mayo Clinic Cancer Center, Rochester, Minnesota; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio; UC San Diego Moores Cancer Center, La Jolla, California; Patient, City of Hope Comprehensive Cancer Center, Los Angeles, California; and Dana-Farber Cancer Institute, Boston, Massachusetts.
authors.forename: Robert B
authors.initials: RB
authors.lastname: Diasio
authors.affiliation: From National Comprehensive Cancer Network, Fort Washington, Pennsylvania; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama; City of Hope Comprehensive Cancer Center, Los Angeles, California; Mayo Clinic Cancer Center, Rochester, Minnesota; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio; UC San Diego Moores Cancer Center, La Jolla, California; Patient, City of Hope Comprehensive Cancer Center, Los Angeles, California; and Dana-Farber Cancer Institute, Boston, Massachusetts.
authors.forename: Stanton L
authors.initials: SL
authors.lastname: Gerson
authors.affiliation: From National Comprehensive Cancer Network, Fort Washington, Pennsylvania; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama; City of Hope Comprehensive Cancer Center, Los Angeles, California; Mayo Clinic Cancer Center, Rochester, Minnesota; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio; UC San Diego Moores Cancer Center, La Jolla, California; Patient, City of Hope Comprehensive Cancer Center, Los Angeles, California; and Dana-Farber Cancer Institute, Boston, Massachusetts.
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Parker
authors.affiliation: From National Comprehensive Cancer Network, Fort Washington, Pennsylvania; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama; City of Hope Comprehensive Cancer Center, Los Angeles, California; Mayo Clinic Cancer Center, Rochester, Minnesota; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio; UC San Diego Moores Cancer Center, La Jolla, California; Patient, City of Hope Comprehensive Cancer Center, Los Angeles, California; and Dana-Farber Cancer Institute, Boston, Massachusetts.
authors.forename: Joseph C
authors.initials: JC
authors.lastname: Alvarnas
authors.affiliation: From National Comprehensive Cancer Network, Fort Washington, Pennsylvania; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama; City of Hope Comprehensive Cancer Center, Los Angeles, California; Mayo Clinic Cancer Center, Rochester, Minnesota; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio; UC San Diego Moores Cancer Center, La Jolla, California; Patient, City of Hope Comprehensive Cancer Center, Los Angeles, California; and Dana-Farber Cancer Institute, Boston, Massachusetts.
authors.forename: Harlan A
authors.initials: HA
authors.lastname: Levine
authors.affiliation: From National Comprehensive Cancer Network, Fort Washington, Pennsylvania; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama; City of Hope Comprehensive Cancer Center, Los Angeles, California; Mayo Clinic Cancer Center, Rochester, Minnesota; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio; UC San Diego Moores Cancer Center, La Jolla, California; Patient, City of Hope Comprehensive Cancer Center, Los Angeles, California; and Dana-Farber Cancer Institute, Boston, Massachusetts.
authors.forename: Yuman
authors.initials: Y
authors.lastname: Fong
authors.affiliation: From National Comprehensive Cancer Network, Fort Washington, Pennsylvania; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama; City of Hope Comprehensive Cancer Center, Los Angeles, California; Mayo Clinic Cancer Center, Rochester, Minnesota; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio; UC San Diego Moores Cancer Center, La Jolla, California; Patient, City of Hope Comprehensive Cancer Center, Los Angeles, California; and Dana-Farber Cancer Institute, Boston, Massachusetts.
authors.forename: Dennis D
authors.initials: DD
authors.lastname: Weisenburger
authors.affiliation: From National Comprehensive Cancer Network, Fort Washington, Pennsylvania; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama; City of Hope Comprehensive Cancer Center, Los Angeles, California; Mayo Clinic Cancer Center, Rochester, Minnesota; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio; UC San Diego Moores Cancer Center, La Jolla, California; Patient, City of Hope Comprehensive Cancer Center, Los Angeles, California; and Dana-Farber Cancer Institute, Boston, Massachusetts.
authors.forename: C Lyn
authors.initials: CL
authors.lastname: Fitzgerald
authors.affiliation: From National Comprehensive Cancer Network, Fort Washington, Pennsylvania; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama; City of Hope Comprehensive Cancer Center, Los Angeles, California; Mayo Clinic Cancer Center, Rochester, Minnesota; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio; UC San Diego Moores Cancer Center, La Jolla, California; Patient, City of Hope Comprehensive Cancer Center, Los Angeles, California; and Dana-Farber Cancer Institute, Boston, Massachusetts.
authors.forename: Maggie
authors.initials: M
authors.lastname: Egan
authors.affiliation: From National Comprehensive Cancer Network, Fort Washington, Pennsylvania; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama; City of Hope Comprehensive Cancer Center, Los Angeles, California; Mayo Clinic Cancer Center, Rochester, Minnesota; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio; UC San Diego Moores Cancer Center, La Jolla, California; Patient, City of Hope Comprehensive Cancer Center, Los Angeles, California; and Dana-Farber Cancer Institute, Boston, Massachusetts.
authors.forename: Sharon
authors.initials: S
authors.lastname: Stranford
authors.affiliation: From National Comprehensive Cancer Network, Fort Washington, Pennsylvania; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama; City of Hope Comprehensive Cancer Center, Los Angeles, California; Mayo Clinic Cancer Center, Rochester, Minnesota; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio; UC San Diego Moores Cancer Center, La Jolla, California; Patient, City of Hope Comprehensive Cancer Center, Los Angeles, California; and Dana-Farber Cancer Institute, Boston, Massachusetts.
authors.forename: Robert W
authors.initials: RW
authors.lastname: Carlson
authors.affiliation: From National Comprehensive Cancer Network, Fort Washington, Pennsylvania; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama; City of Hope Comprehensive Cancer Center, Los Angeles, California; Mayo Clinic Cancer Center, Rochester, Minnesota; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio; UC San Diego Moores Cancer Center, La Jolla, California; Patient, City of Hope Comprehensive Cancer Center, Los Angeles, California; and Dana-Farber Cancer Institute, Boston, Massachusetts.
authors.forename: Edward J
authors.initials: EJ
authors.lastname: Benz
mesh_terms: D003695:Delivery of Health Care / Q000379:methods*; D006801:Humans; D008495:Medical Oncology / Q000592:standards*; D009369:Neoplasms / Q000191:economics*