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Cancer Policy Roundtable (CPR) November 5-6, 2014 Washington, DC Fairmont Hotel Wednesday, November 5, 2014 8:00am-8:45am Registration and Breakfast Executive Forum Foyer 8:45am-9:00am Welcome and Introductions Executive Forum Shelley Fuld Nasso, MPP Chief Executive Officer National Coalition for Cancer Survivorship 9:00am-11:00am Communication of Cancer Care Costs to Patients A number of oncologists, other health care providers, and medical specialty societies have recently recommended that there be much more explicit communication with cancer patients about the cost of their care. Much of the discussion has focused on communication with patients regarding the cost of cancer drugs or the value of cancer drugs. This panel will focus on this new paradigm of open communication with cancer patients regarding cost of care and will consider a wide range of issues that arise in connection with cost communication. Panelists Patricia M. Danzon, PhD Celia Moh Professor of Health Care Management The Wharton School University of Pennsylvania Jennifer Malin, MD, PhD Medical Director for Oncology and Care Management WellPoint, Inc. Carol Marcusen, LCSW, MSW, BCD Director, Social Services USC/Norris Comprehensive Cancer Center Chair 1 Therese Mulvey, MD, FASCO Physician-in-Chief Southcoast Centers for Cancer Care Thomas Smith, MD Henry J. Duffey Family Professor of Palliative Care School of Medicine Johns Hopkins University Susan L. Weiner, PhD Founder and President Children’s Cause for Cancer Advocacy Moderator Peter A. Ubel, MD Professor of Business Administration and Medicine Sanford School of Public Policy Duke University 11:00am-11:30am Break 11:30am-1:00pm Medicare Data Release and its Implications for the Cancer Care System In April 2014, the Centers for Medicare & Medicaid Services (CMS) released a data set of physician payment and charge data, a move the agency described as part of the Obama Administration’s efforts “to make our healthcare system more transparent, affordable, and accountable.” The data release has been both applauded and roundly criticized. Champions see the data as the beginning of a new era of transparency in the health care system, while critics say the data are misleading and incomplete. This panel will consider the risks and benefits — to patients, physicians, third-party payers, and the entire health system — of the Medicare data release and what additional data are necessary for a fair comparison on physicians and their care delivery. Panelists Leah Binder, MA, MGA President & CEO The Leapfrog Group Reshma Jagsi, MD, DPhil Associate Professor, Department of Radiation Oncology Research Investigator, Center for Bioethics and Social Sciences in Medicine. University of Michigan Health System Michael Kolodziej, MD National Medical Director Oncology Strategies Aetna 2 Therese Mulvey, MD, FASCO Physician-in-Chief Southcoast Centers for Cancer Care Moderator Lee Newcomer, MD, MHA Senior Vice President Oncology, Genetics and Women’s Health UnitedHealthcare 1:00pm-2:00pm Lunch Roosevelt 2:00pm-3:30pm The Physician Payments Sunshine Act and its Impact on Cancer Care, Research, and Education Executive Forum The Physician Payments Sunshine Act is intended to bring greater transparency to the financial relationships that exist among manufacturers, physicians, and teaching hospitals. Under the terms of the law, which created the Open Payments Program at the Centers for Medicare & Medicaid Services, pharmaceutical and device companies began to report their payments to physicians and teaching hospitals on August 1, 2013. The panel will consider the intent of the law, how it may achieve its intended purpose of greater transparency, how it is affecting relationships among pharmaceutical and device companies and health care providers, and the burdens of reporting. Panelists Shantanu Agrawal, MD Deputy Administrator and Director, Center for Program Integrity Centers for Medicare & Medicaid Services Ashish Kalgaonkar, MBA Senior Director, Global HCP Transparency Reporting Eli Lilly and Company Blase Polite, MD, MPP Assistant Professor of Medicine The University of Chicago James M. (Mit) Spears, JD General Counsel PhRMA Moderator Neil M. Kirschner, PhD Senior Associate, Regulatory and Insurer Affairs American College of Physicians 3 3:30pm-4:00pm Break 4:00pm-5:30pm Transparency in the Relationships Between Patient Advocacy Organizations and their Corporate Funders Advocacy organizations that are actively involved in public policy advocacy and that accept funding from corporate funders find themselves at risk of criticism that their policies regarding conflicts of interest are not sufficiently rigorous. Even as advocacy groups develop their own conflicts policies, those entities that offer them funding are imposing new reporting requirements. In addition, federal agencies that welcome comment from patient advocates during regulatory meetings, including advisory committees related to specific products, have established policies for patient advocates’ disclosure of funding relationships. The panel will discuss the conflict of interest policies that have been developed by non-profit cancer advocacy organizations and how the organizations implement and adhere to those standards and to the requirements of federal agencies, their funders, and other private organizations regarding transparency and disclosure. Panelists Lisa C. Keenan, JD Counsel Venable LLP Sheila Rothman, PhD, MSW Mailman School of Public Health Columbia University Fran Visco, JD President National Breast Cancer Coalition Moderator Shelley Fuld Nasso, MPP Chief Executive Officer National Coalition for Cancer Survivorship 5:30pm Reception Sulgrave Room Thursday, November 6, 2014 8:30am-9:00am Registration and Breakfast Executive Forum Foyer 9:00am-10:00am Keynote Presentation Executive Forum 4 Joshua M. Sharfstein, MD Secretary Maryland Department of Health and Mental Hygiene 10:00am-10:15am Break 10:15am-11:45am Enhancing the Sharing of Patient-Specific Research Data In recent months, the Food and Drug Administration (FDA), National Institutes of Health (NIH), and individual research entities have been deliberating strategies for strengthening the sharing of patient-specific clinical trials data and the Institute of Medicine (IOM) has identified principles for data-sharing. New approaches to sharing of data may have important implications for cancer research and care. The panel will discuss the potential benefits and possible risks of sharing clinical trials data as well as various efforts to establish appropriate standards for such data-sharing initiatives. Panelists Justin McCarthy, JD Senior Vice President, Global Policy & International Public Affairs Pfizer Lou Staudt, MD, PhD Director, Center for Cancer Genomics National Cancer Institute John J. Whyte, MD, MPH Director of Professional Affairs and Stakeholder Engagement Center for Drug Evaluation and Research Food and Drug Administration John Wilbanks Chief Commons Officer Sage Bionetworks Moderator Louise M. Perkins, PhD Chief Science Officer Melanoma Research Alliance 11:45am-12:00pm Closing Remarks and Adjourn Shelley Fuld Nasso, MPP Chief Executive Officer National Coalition for Cancer Survivorship 5