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oNCOLOGY CARE MANAGEMENT
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VARfAN medical systems Clinical Perspectives | Oncology Care Management As the world's populations grow and age, cancer is on the rise. Unfortunately for most cancer patients, the care they receive is often fragmented, uncoordinated and inefficient. This puts an enormous strain on health systems worldwide as they struggle to meet the increasing demand for cancer treatment services and resources. Thanks to the great progress that has been made in screening, diagnosing and treating cancer, we have more cancer survivors alive today than ever before. However, the healthcare landscape that most cancer patients and survivors experience is usually fragmented, uncoordinated and inefficient.1 Fragmented cancer care within healthcare systems, combined with rising cancer incidence and more cancer survivors requiring care has major cost and resource utilization implications today and into the future for health systems throughout the world. The challenge is clear. How can healthcare systems better manage their cancer patient populations from diagnosis through survivorship, provide high quality cancer care, and control costs at the same time? Cancer incidence is rising, and the economic burden is alarming Cancer incidence is rising globally, primarily due to population growth and aging.2 The World Health Organization estimates that the number of new cancer cases will increase by approximately 70% over the next two decades.3 There were an estimated 14 million new cases of cancer and 8.2 million cancer-related deaths worldwide in 2012, the most recent year for which global figures are available.3 Cancer places the greatest economic burden on healthcare systems worldwide compared to other diseases. The total economic cost of cancer globally was estimated to be $895 billion in 2008.4 In 2016, there will be approximately 1,685,210 new cancer cases diagnosed in the United States, according to the American Cancer Society.5 At the same time, there are more people surviving cancer than ever before. In the 45 years since the 1971 National Cancer Act was passed into law, the number of cancer survivors in the U.S. alone has increased from 3 million to nearly 12 million, with the majority more than five years beyond diagnosis.6

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The case for oncology care management From the point of diagnosis through treatment and into survivorship, cancer is a complex disease characterized by multiple interventions; interaction across primary care and specialty areas; the need to access, manage and understand enormous amounts of data and information; and the ability to navigate often confusing and disconnected coverage and reimbursement structures. Fragmented cancer care often leads to poor utilization of healthcare services, unnecessary procedures and duplication of diagnostic tests, lack of information sharing between primary...

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References 1 American Cancer Society, Cancer Action Network. The cancer care workforce. ACS CAN Policy Team, November 2011. http://www.acscan.org/content/wp-content/ uploads/2013/06/Workforce-Briefing-Paper.pdf. Last accessed on 8/22/16. 2 Jemal A, et al. Global cancer statistics. CA Cancer J Clin 2011;61:69–90. 3 World Health Organization. Cancer fact sheet; February 2015. http://www.who.int/ mediacentre/factsheets/fs297/en/. Last accessed on 8/22/16. 4 American Cancer Society. The global economic cost of cancer. Atlanta, GA; 2010....

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