State Society Network

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Welcome

  • 1.  Welcome

    Posted 11 days ago

    Welcome!  

    Hello everyone! Welcome to our new State Society Network, a community designed specifically for YOU – members of ASCO's state societies. This community offers you a resource library, discussion forum, a member directory, and more. The purpose of this group is to ease communications between state society members and encourage engagement with ASCO's State Affiliate Council leaders.

     I am Kurt Oettel, MD, MBA, FACP, Chair of the State Affiliate Council (SAC) which serves as an advisory group to ASCO's Board of Directors on issues relating to ASCO's state societies. We at the SAC feel that there is a need for State Societies and its members to feel more connected with ASCO. This is reflected in the large number of ASCO volunteers from communities like yours. We hope that this will be a platform for discussions of relevant issues facing oncologists across the country. 

     

    Please take a moment to respond to this discussion post with the following:

    • Your Name: Kurt Oettel, MD, MBA, FACP
    • State: Wisconsin
    • Practice Setting: Large Multispecialty Group
    • What issues are concerning you with your state? Medicaid expansion and re-imbursement, prior authorization, step therapy and PBM's, physician burnout, COVID and vaccination amongst our patients, just to name a few

     

    It is our hope to expand communications amongst all state society members so that we may learn from one another and share best practices across the country. We look forward to hearing from you. Thanks for exploring this site !



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    Kurt Oettel MD, MBA, FACP
    Gundersen Health System
    La Crosse, WI
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  • 2.  RE: Welcome

    Posted 11 days ago
    Kurt,

    Thanks.

    Joseph J. Muscato, MD, FACP
    Missouri
    Single Specialty practice plus teaching at University
    Issues for Missouri: Prior Auth, PBM and whitebagging, Medicaid anti-emetic formulary

    Joe

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    Joseph Muscato, MD, FACP
    President
    Missouri Oncology Society
    Columbia, MO
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  • 3.  RE: Welcome

    Posted 11 days ago
    Kurt,
    I edited my signature. Hope it works!

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    Joseph Muscato, MD, FACP
    President
    Missouri Oncology Society
    Columbia, MO
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  • 4.  RE: Welcome

    Posted 9 days ago
    Hi Kurt

    Thanks for the jump start.

    Sakeer Hussain MD
    Heartland Oncology and Hematology
    American Oncology Network
    Council Bluffs IA

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    [Sakeer] [Hussain] [MD]
    [Physician]
    [Heartland Oncology and Hematology
    American Oncology Partners]
    [Council Bluffs], [IA]
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  • 5.  RE: Welcome

    Posted 8 days ago
    Aloha Kurt and all other members of the SAC Executive Subcommittee - I think this new State Society Network will prove to be valuable for the Affiliates to communicate and share issues in a real time manner - I plan to pass the invitation on to our Board of Directors and recommend that our Executive Director, Christy Levine of ACCC, send it out to the entire membership.

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    Charles Miller MD, FACP, FASCO
    Doctors For Dignity
    Honolulu, HI
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  • 6.  RE: Welcome

    Posted 3 days ago
    I'm curious to know how radiation oncologists in other states are handling gaps in Medicare/Medicaid coverage that can result in delays in timely care and worse outcomes:
    1. Dental Care for Head & Neck Cancer is not covered for patients requiring radiation therapy: a preradiation dental consultation is considered standard but if the patient lacks dental insurance or is unable to pay out of pocket for dental care/extractions this can lead to delays in timely radiation while waiting. On-going dental care is essential to decrease risk of complications such as osteoradionecrosis and radiation dental caries;
    2. Radiation Treatment during admission to Rehab & Skilled Nursing facilities is not covered separately and results in treatment delays of post-operative patients and worse outcomes. For example, costs for radiation treatment for patients who undergo surgery for brain or spinal tumor/cancers discharged to Rehab or SNF becomes the financial responsibility of the facility usually delaying treatment until after the patient goes home sometimes allowing tumors to regrow in the interim. 

    Are there other coverage issues that result in health care disparities?

    Interestingly, there is actually a House bill that was written to address the dental issue-
     
    • Summary: This bill provides for Medicare coverage of dental and oral health services, including routine diagnostic and preventive services, basic and major dental services, and emergency care; dental prostheses are also covered. Currently, such services are excluded from Medicare coverage. The bill gradually phases in benefits over an 8-year period.
    • Cosponsors: Kelly, Khanna, Holmes Norton
    • Constituent request: Oral Health Advocates
    • Supporting organizations: Oral Health Advocates
    • Opposing organizations: None
     
    One concern raised with the dental issue is that phasing in benefits over an 8-year period is too long.

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    Laeton Pang MD, MPH, FACR
    Chair, American College of Radiology, Radiation Oncology CAC Network
    Honolulu HI


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    Laeton Pang MD, MPH
    Cancer Center of Hawaii
    Honolulu, HI
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