ASCO in Action

ASCO in Action provides the latest news and analysis related to critical policy issues affecting the cancer community, updates on the Association for Clinical Oncology’s ongoing advocacy efforts, and opportunities for members and others in the cancer care community to take action.

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April 18, 2024

On April 18, 2024, the Food and Drug Administration approved alectinib (Alecensa, Genentech, Inc.) for adjuvant treatment following tumor resection in patients with anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC), as detected by an FDA-approved test.

April 17, 2024

Cancer doctors from across the U.S. are lending their voices to a new advocacy campaign to end drug shortages. Led by the Association for Clinical Oncology (ASCO), nearly 500 oncology professionals have signed an open letter to Congress and the administration highlighting the severe impact of drug shortages on cancer care and urging swift action from lawmakers.

April 12, 2024

On April 10, 2024, the Centers for Medicare & Medicaid Services issued the fiscal year (FY) 2025 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) proposed rule. The rule would update Medicare fee-for-service payment rates and policies for inpatient hospitals and LTCHs for FY 2025. Initial highlights of the proposal are included here.

April 9, 2024

The Centers for Medicare & Medicaid Services released the 2025 Notice of Benefit and Payment Parameters final rule and the 2025 Medicare Advantage and Part D final rule. The Association for Clinical Oncology (ASCO) submitted comments on the proposed versions of both rules. Summaries of the final rules, highlighting provisions ASCO commented on, are included here.  

April 9, 2024

The Association for Clinical Oncology (ASCO) is holding its annual Advocacy Summit Week of Action from April 15-19, during which ASCO members are encouraged to connect with their Members of Congress about policies and legislation that impact cancer care and research. Participants may visit the ACT Network to contact their lawmakers and urge them to take action on priority issues.

April 9, 2024

State governments are increasingly considering legislation to streamline prior authorizations processes, which Association for Clinical Oncology (ASCO) members say delay patient care, adversely affect cancer care outcomes, and divert providers from patient care. States have regulatory authority over fully insured health benefit plans (group and individual plans) and health benefit plans administered by the state itself (Medicaid and state employee benefit plans). This means that state governments can impact plan design through either legislation or regulatory action, and during the past decade, a majority of states have been working to leverage that impact to reform prior authorization.

April 5, 2024

On April 5, 2024, the Food and Drug Administration granted accelerated approval to fam-trastuzumab deruxtecan-nxki (Enhertu, Daiichi Sankyo, Inc.) for adult patients with unresectable or metastatic HER2-positive (IHC3+) solid tumors who have received prior systemic treatment and have no satisfactory alternative treatment options.

March 28, 2024

Today the Department of Health and Human Services (HHS), Department of Labor and the Treasury Department finalized a rule regulating the availability of short-term limited duration insurance (STLDI) plans. The rule would restrict the availability of these plans to no more than four months.

March 26, 2024

The American Society of Clinical Oncology (ASCO) issued a new Clinical Practice Guideline, “Vaccination of Adults with Cancer,” which recommends several vaccinations (e.g., seasonal, herpes zoster, HPV, and others) for adult patients with solid or hematologic malignancies because of their heightened infection risks from vaccine-preventable illnesses. The guideline covers the essential questions of which vaccines to give, to whom, when, and which ones to avoid due to potential risks.

March 22, 2024

On March 22, 2024, the Food and Drug Administration approved mirvetuximab soravtansine-gynx (Elahere, ImmunoGen, Inc. [now a part of AbbVie]) for adult patients with FRα positive, platinum-resistant epithelial ovarian, fallopian tube, or primary peritoneal cancer, who have received one to three prior systemic treatment regimens. Patients are selected based on an FDA-approved test. Mirvetuximab soravtansine-gynx previously received accelerated approval for this indication.

March 22, 2024

The Centers for Medicare & Medicaid Services (CMS) reopened the Merit-based Incentive Payment System (MIPS) Extreme and Uncontrollable Circumstances (EUC) Exception Application for 2023 due to the Change Healthcare cyberattack. Clinicians who have not yet submitted their 2023 MIPS data to CMS, can submit hardship exemption requests for one or more performance categories until April 15, 2024, at 8 p.m. ET.

 
March 22, 2024

Congress passed a spending package March 23, 2024, that funds the federal government, including the National Institutes of Health (NIH) and National Cancer Institute (NCI), through September 30— the end of the 2024 Fiscal Year.

March 21, 2024

On March 21, 2024, the Food and Drug Administration approved safety labeling changes for fluorouracil injection products. This effort was a collaboration between FDA’s Office of Generic Drugs and the Oncology Center of Excellence (OCE). 

March 19, 2024

On March 19, 2024, the Food and Drug Administration granted accelerated approval to ponatinib (Iclusig, Takeda Pharmaceuticals U.S.A., Inc.) with chemotherapy for adult patients with newly diagnosed Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+ ALL).

March 18, 2024

President Biden signed the Consolidated Appropriations Act of 2024, which included a +1.68% adjustment to the Medicare Physician Fee Schedule (MPFS) conversion factor (CF) for the remainder of  calendar year (CY) 2024. This increase results in a 1.68% reduction to the 3.37% CF cut finalized in the 2024 MPFS final Rule. The Association for Clinical Oncology (ASCO) advocated for Congress to address the full 3.37% Medicare physician reimbursement cut, and while ASCO appreciates congressional action, the Association is disappointed that Congress failed to eliminate the entire reimbursement cut.

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