2017 American Society of Hematology and American Society of Clinical Oncology Hematology and ...

120 Pages·2017·5.57 MB·English

by  Katherine Stark

American Society of Hematology American Society of Clinical Oncology
www.hematology.org www.asco.org
2017 American Society of Hematology and
American Society of Clinical Oncology
Hematology and Oncology Carrier Advisory
Committee (CAC) Network Meeting
July 20 – 21, 2017
American Society of Clinical Oncology
2318 Mill Road
Suite 800
Alexandria, VA 22314
[phone]
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American Society of Hematology/American Society of Clinical Oncology
Carrier Advisory Committee (CAC) Network Meeting
Friday, July 21, 2017
8:00 a.m. – 3 p.m.
AGENDA
7:30 a.m. Breakfast Available
7:45 a.m. Mentor CAC 101 3
8:30 a.m. Welcome and introductions Dr. Joe Alvarnas and Dr.
Paul Celano
• ASH and ASCO Staff List 4
• Attendee List 5
• CAC Representatives 13
• CMD List and Jurisdiction Map 22
9:00 a.m. Next Generation Sequencing Dr. Kojo Elenitoba- 26
Johnson
10:00 a.m. Break
10:15 a.m. Next Generation Sequencing Reimbursement Dr. Elaine Jeter 27
• Slide Deck 28
10:45 a.m. Case Study: Allogeneic SCT and CAR-T Therapies for Lymphoma Dr. Krishna Komanduri 34
• Slide Deck 35
11:30 a.m. Lunch
12:15 p.m. MACRA: The Law, Implementation, and Opportunities for Robert Horne 44
Improvement
• Slide Deck 45
1:15 p.m. Case Study: Coverage of Off Label Medications Dr. Arthur Lurvey 68
• Slide Deck 69
2:00 p.m. Case Study: Use of Chronic Red Cell Exchanges in the Management Dr. Sophie Lanzkron 79
of Adults with Sickle Cell Disease
• Slide Deck 80
2:45 p.m. Closing Remarks and Reference Materials Dr. Chancellor Donald and
Dr. Annette Fontaine
• CMS Resources 91
• ASH Choosing Wisely 92
• ASCO Choosing Wisely 98
• ASH Practice Resources 102
• ASCO Practice Resources 105
• Meeting Evaluation Form 114
• Meeting Reimbursement Form 117
• Meeting Reimbursement Policy 118
3:00 p.m. Adjourn
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Mentor CAC 101
**This session is from 7:45-8:15 a.m. at ASCO HQ on the 8th Floor Conference Center. We kindly ask those not
attending to please delay entering the meeting room until the end of the mentor session**
Goals: This session is an introduction to the CAC process for new CAC representatives. This session also provides
new representatives with mentors and an additional opportunity to network.
Mentors:
1. Steve Allen, MD, FACP
2. Eric Seifter, MD
3. John Cox, DO, MBA, FACP, FASCO
4. Joseph DiBenedetto Jr., MD
5. Luis Pineda, MD, MSHA
6. Sam Silver, MD, PhD, MACP, FASCO
Attendees:
1. Joseph Alvarnas, MD 18. Peter Louides, MD
2. Robert H. Cassell, MD, PhD 19. Arthur Lurvey, MD, FACP, FACE
3. Paul Celano, MD 20. Gary MacVicar, MD
4. Matthew Cheung, MD, MS, FRCP 21. Rajini Malisetti, MD
5. Carol A. Christner, MS, BA 22. Charles F. Miller, MD
6. Laurence Clark, MD, FACP 23. Daniel P. Mirda, MD
7. Chancellor Donald, MD 24. Jose Eugenio Najera, MD
8. Nicole Dreabit 25. Gary Oakes, MD
9. Omar Eton, MD 26. Kashyap B. Patel, MD
10. Stuart P. Feldman, MD 27. Dhimant R. Patel, MD
11. Paul Fishkin, MD 28. Marc Rovito, MD
12. Annette Fontaine, MD, MBA 29. Michael A. Savin, MD
13. Tom Heffner, MD 30. Tammy Thiel
14. Sakeer Hussain, MD 31. Patricia Troy, CAE
15. Anshu K. Jain, MD 32. Sabina Wallach, MD, FRACP, FACP
16. Elaine Jeter, MD 33. Ronald Walters, MD, MHS, MS, MBA
17. Mary M. Klix, MD 34. Richard (Dick) Whitten, MD, MBA, FACP
ASH and ASCO are always looking for new members to take part in the CAC process. If you would like to become
a CAC representative or know of a colleague who would like to become a representative, please feel free to reach
out to Katherine Stark at ASH or Monica Tan at ASCO.
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2017 ASH/ACSO Staff Contact Information
Leslie Brady, MPH
Policy and Practice Manager
American Society of Hematology
2021 L Street, NW, Suite 900
Washington, DC 20036
[email protected]
202-292-0264
Suzanne M. Leous, MPA
Director, Government Relations and Practice
American Society of Hematology
2021 L Street, NW, Suite 900
Washington, DC 20036
[email protected]
202-292-0258
Katherine Stark
Policy and Practice Coordinator
American Society of Hematology
2021 L Street, NW, Suite 900
Washington, DC 20036
[email protected]
202-292-0252
Monica Tan
Program Coordinator
Clinical Affairs Department
American Society of Clinical Oncology
2318 Mill Road, Suite 800
Alexandria, VA 22314
[email protected]
571-483-1671
Julia Tomkins
Associate Director
Clinical Affairs Department
American Society of Clinical Oncology
2318 Mill Road, Suite 800
Alexandria, VA 22314
[email protected]
571-483-1651
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2017 ASH/ASCO CAC Meeting Attendee List
Abbreviations
APP = ASH Practice Partnership COP = ASH Committee on Practice
CPC = ASCO Clinical Practice Committee RS = ASH Reimbursement Subcommittee
Heather Allen, MD, FACP Thomas A. Bensinger, MD
Hematology CAC Representative Hematology CAC Representative
Comprehensive Cancer Centers of Nevada 12210 Plum Orchard Drive Suite 211
3730 S. Eastern Ave Silver Spring, MD 20904
Las Vegas, NV 89169 Phone: [phone]
Phone: [phone] [email protected]
[email protected]
Scott C. Blair, MD
Steven L. Allen, MD, FACP Hematology CAC Alternate
Onc/Hem CAC Representative Ohio Oncology and Hematology
Hofstra Northwell School of Medicine 810 Jasonway Ave, Suite A
450 Lakeville Rd Columbus, OH 43214
Lake Success, NY 11042 Phone: [phone]
Phone: [phone] [email protected]
[email protected]
Leslie Brady, MPH
James Almas, MD Policy & Practice Manager
Contractor Medical Director American Society of Hematology
Palmetto GBA MolDX 2021 L St, NW, Suite 900
17 Technology Circle Washington, DC 20036
Columbia, SC 29203 Phone: [phone]
Phone: [phone] [email protected]
[email protected]
Marci Cali, BA, RHIT
Joseph Alvarnas, MD State Society Executive Director OSSN at ACCC
ASH CAC Co-Chair 1801 Research Blvd, Suite 400
ASH COP Chair Rockville, MD 20850
City of Hope Phone: [phone]
1500 E. Duarte Rd [email protected]
Duarte, CA 91010
Phone: [phone] Robert H. Cassell, MD, PhD
[email protected] Oncology CAC Representative
FLASCO
Lu Anne Bankert, CAE 3834 Gaines Court, SE
Administrator, OSSN Winter Haven, FL 33884
1801 Research Blvd, Suite 400 Phone: [phone]
Rockville, MD 20850 [email protected]
Phone: [phone]
[email protected] Paul Celano, MD
ASCO CAC Co-Chair
Karen Beard, CPC, CPCO ASCO CPC Chair
State Society Executive Director The Cancer Center at GBMC
Georgia Society of Clinical Oncology 6569 N Charles St, Suite 205
3330 Cumberland Blvd, Suite 200 Baltimore, MD 21204
Atlanta, GA 30339 Phone: [phone]
Phone: [phone] [email protected]
[email protected]
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Matthew Cheung, MD, MS, FRCP Terry A. Cox, CAE
ASH COP Director, State Initiatives
2075 Bayview Ave Policy & Advocacy
T2-031 American Society of Clinical Oncology
Toronto, ON M4N3M5, Canada 2318 Mill Rd, Suite 800
Phone: [phone] Alexandria, VA 22314
[email protected] Phone: [phone]
[email protected]
Carol A. Christner, MS, BA
State Society Executive Director Joseph DiBenedetto, Jr., MD
Michigan Society of Hem/Onc FASCO State Society President
5435 Corporate Dr, Suite 250 Onc/Hem CAC Representative
Troy, MI 48098 193 Waterman St
Phone: [phone] Providence, RI 02906
[email protected] Phone: [phone]
[email protected]
Siren Chudgar, MD
Contractor Medical Director Dave Dillahunt, CAE
Novitas Solutions State Society Executive Director
532 Riverside Ave Ohio Hematology Oncology Society
Jacksonville, FL 32202 P.O. Box 265
Phone: [phone] Hilliard, Ohio 43026
[email protected] Phone: [phone]
[email protected]
Laurence Clark, MD, FACP
Contractor Medical Director Chancellor E. Donald, MD
National Government Services ASH CAC Co-Chair
5000 Brittonfield Pkwy, Suite 100 ASH COP Member
East Syracuse, NY 13057 Hematology CAC Representative
Phone: [phone] Louisiana Oncology Associates
[email protected] 600 Richland Ave
Lafayette, LA 70508
Rise M. Cleland Phone: [phone]
State Society Executive Director [email protected]
Washington State Medical Onc Society
1325 Officers Row, Suite A Nicole Dreabit
Vancouver, WA 98661 Account Executive, OSSN
Phone: [phone] Research Blvd, Suite 400
[email protected] Rockville, MD 20850
Phone: [phone]
John Cox, DO, FACP, FASCO, MBA [email protected]
Oncology CAC Representative
ASCO CPC Member Kojo Elenitoba-Johnson, MD
UT Southwestern Medical Center CAC Speaker
Dept. of Internal Medicine Perelman School of Medicine
5323 Harry Hines Blvd University of Pennsylvania
Dallas, TX 75390 422 Curie Blvd
Phone: [phone] Philadelphia, PA 19104
[email protected] Phone: [phone]
[email protected]

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Omar Eton, MD Xylina Gregg, MD
Oncology CAC Alternate Hematology CAC Representative
Boston Medical Center and Hartford Health Utah Cancer Specialists
34 Larchwood Drive 3838 South 700 East, Suite 100
Cambridge, MA 02138 Salt Lake City, UT 84106
Phone: [phone] Phone: [phone]
[email protected] [email protected]
Stuart P. Feldman, MD Sidney Hayes, MD
State Society President Contractor Medical Director
Westchester Medical Group PC Novitas Solutions
210 Westchester Ave 202 Technology Parkway
White Plains, NY 10604 Mechanicsburg, PA 17050
Phone: [phone] Phone: [phone]
[email protected] [email protected]
Paul Fishkin, MD Leonard T. Heffner, MD
ASH COP Member ASH COP
Illinois Cancer Care Hem/Onc CAC Representative
8940 N. Wood Sage Rd. Emory University
Peoria, IL 61615 1365 Clifton Rd, NE
Phone: [phone] Atlanta, GA 30322
[email protected] Phone: [phone]
[email protected]
Annette Fontaine, MD, MBA
ASCO CAC Co-Chair Jack Hensold, MD
Oncology CAC Alternate State Society President
New Mexico Cancer Center Bozeman Health Cancer Center
4901 Lang Ave NE 931 Highland Ave, Suite 3130
Albuquerque, NM 87109 Bozeman, MT 58715
Phone: [phone] Phone : [phone]
[email protected] [email protected]
James L. Gajewski, MD Allison Hirschorn
ASH RS Member Coding and Reimbursement Specialist
Hematology CAC Representative Clinical Affairs
OSMO American Society of Clinical Oncology
15378 NW Dane Lane 2318 Mill Rd, Suite 800
Portland, OR 97229 Alexandria, VA 22314
Phone: [phone] Phone: [phone]
[email protected] [email protected]
Matthew Gertzog, MBA, CAE Dawn Holcombe, MBA, FACMPE, ACHE
Deputy Executive Director State Society Executive Director
American Society of Hematology DGH Consulting
2021 L St, NW, Suite 900 33 Woodmar Circle
Washington, DC 20036 South Windsor, CT 06074
Phone: [phone] Phone: [phone]
[email protected] [email protected]
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Robert Horne Peter Kouides, MD
CAC Speaker ASH COP
Leavitt Partners Rochester General Hospital
601 New Jersey Avenue NW, Suite 450 1425 Portland Ave
Washington, D.C. 20001 Rochester, NY 14621
Phone: [phone] Phone: [phone]
[email protected] [email protected]

Sakeer Hussain, MD Sophie Lanzkron, MD
State Society Representative CAC Speaker
Heartland Oncology and Hematology Johns Hopkins Medicine
1 Edmundson Place 1830 E Monument St, Suite 7300
Council Bluffs, IA 51503 Baltimore, MD 21205
Phone: [phone] Phone : [phone]
[email protected] [email protected]

Anshu K. Jain, MD Suzanne M. Leous, MPA
State Society Representative Director, Government Relations and Practice
West Virginia Oncology Society American Society of Hematology
Ashland Bellefonte Cancer Center 2021 L St, NW, Suite 900
122 St. Christopher Dr Washington, DC 20036
Ashland, KY 41101 Phone: [phone]
Phone : [phone] [email protected]
[email protected]
Arthur N. Lurvey, MD, FACP, FACE
Elaine Jeter, MD Contractor Medical Director
Contractor Medical Director Palmetto GBA Noridian Healthcare Solutions
P.O. Box 100238, AG-315 900 42nd St S, P.O. Box 6740 F
Columbia, SC 29202 Fargo, ND 58103
Phone: [phone] Phone: [phone]
[email protected] [email protected]

Mary M. Klix, MD Laura Lynch
State Society President Program Administrator
Missouri Oncology Society Clinical Affairs
SLUCare Hem/Onc American Society of Clinical Oncology
2325 Dougherty Ferry Rd 2318 Mill Rd, Suite 800
St. Louis, MO, 63122 Alexandria, VA 22314
Phone: [phone] Phone: [phone]
[email protected] [email protected]

Krishna Komanduri, MD Roger M. Lyons, MD
CAC Speaker Hematology CAC Representative
University of Miami/ASBMT Cancer Care Network of South Texas
1501 NW 10 Ave, Suite 916 4411 Medical Dr
Miami, FL 33136 San Antonio, TX 78229
Phone: [phone] Phone: [phone]
[email protected] [email protected]

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Gary MacVicar, MD Ella Noel, DO
Onc/Hem CAC Representative Contractor Medical Director
Illinois Cancer Care WPS Governmental Health Administrators
8940 North Wood Sage Rd 1717 W Broadway
Peoria, IL 61615 P.O. Box 1787
Phone: [phone] Madison, WI 53701
[email protected] Phone: [phone]
[email protected]
Rajini Malisetti, MD
Onc/Hem CAC Representative Gary Oakes, MD
Minnesota Oncology Contractor Medical Director
11850 Blackfoot St Noridian Healthcare Solutions
Coon Rapids, MN 55443 900 42nd St South
Phone: [phone] Fargo, ND 58103
[email protected] Phone: [phone]
[email protected]
Charles F. Miller, MD
State Society Representative Ray D. Page, DO, PhD, FACOI
Doctors for Dignity ASCO CPC Chair-Elect
762 Kaulana Place Center for Cancer and Blood Disorders
Honolulu, HI 96821 800 W. Magnolia
Phone: [phone] Fort Worth, TX 76008
[email protected] Phone: [phone]
[email protected]
Daniel P. Mirda, MD
State Society President, ANCO Mark S. Pascal, MD
2 Huntington Court Hematology CAC Representative
Napa, CA 94558 State Society President
Phone: [phone] Medical Oncology Society of New Jersey
[email protected] John Theurer Cancer Center at Hackensack
University Medical Center
Thom Mitchell, MD 92 Second St
Contractor Medical Director Hackensack, NJ 07601
Cahaba GBA Phone: [phone]
P.O. Box 13384 [email protected]
Birmingham, AL 35205
Phone: [phone] Kashyap B. Patel, MD
[email protected] Onc/Hem CAC Representative
Carolina Blood and Cancer Care Associates
Jose Eugenio Najera, MD 1583 Healthcare Dr
Hematology CAC Representative Rock Hill, SC 29732
Cancer Centers of Southwest Oklahoma Phone: [phone]
104 NW 31st St [email protected]
Lawton, OK 73506
Phone: [phone] Dhimant R. Patel, MD
[email protected] State Society Representative
Wisconsin Association of Hem/Onc
Vince Lombardi Cancer Clinic
2845 Greenbriar Rd
Green Bay, WI 54308
Phone: [phone]
[email protected]
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Alex Roach
Luis F. Pineda, MD, MSHA Program Coordinator
Hematology CAC Representative Policy & Advocacy
Luis F. Pineda MD PC American Society of Clinical Oncology
1909 Laurel Rd 2318 Mill Rd, Suite 800
Birmingham, AL 35416 Alexandria, VA 22314
Phone: [phone] Phone: [phone]
[email protected] [email protected]
Andrew W. Pippas, MD Marc Rovito, MD
Oncology CAC Representative State Society Representative
John B Amos Cancer Center Pennsylvania Society of Hem/Onc
1831 5th Ave 2494 Bernville Rd
Columbus, GA 31904 Reading, PA 19605
Phone: [phone] Phone: [phone]
[email protected] [email protected]
Cheryl Ray, DO Michael A. Savin, MD
Contractor Medical Director ASCO CPC
WPS Governmental Health Administrators Knight Cancer Institute
1717 W Broadway Oregon Health & Science University
P.O. Box 1787 3181 SW Sam Jackson Park Rd, L586
Madison, WI 53701 Portland, OR 97239
Phone: [phone] Phone: [phone]
[email protected] [email protected]
Mary Jo Richards Juan Schaening, MD
State Society Executive Director Contractor Medical Director
MJ Executive Management First Coast Service Options
14601 E 88th Place N, Suite 306 532 Riverside Avenue
Owasso, OK 74055 Jacksonville, FL 32202
Phone: [phone] Phone: [phone]
[email protected] [email protected]
Ellen Riker Eric J. Seifter, MD
Senior Vice President Oncology CAC Representative
CRD Associates Johns Hopkins at Green Spring Station
600 Maryland Avenue, SW, Suite 835W 10755 Falls Rd, Suite 200
Washington, DC 20024 Lutherville, MD 21093
[email protected] Phone: [phone]
Phone: [phone], ext. 113 [email protected]
Melissa Reifler Rahul Seth, DO
Program Specialist, State/Regional Affiliate Program Oncology CAC Representative
Policy & Advocacy State Society President
American Society of Clinical Oncology SUNY Upstate Medical University
2318 Mill Rd, Suite 800 150 E Adams St
Alexandria, VA 22314 Syracuse, NY 13210
Phone: [phone] Phone : [phone]
[email protected] [email protected]
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