Personal Precision Oncology Management supports members facing complex cancers
Challenge
Addressing the uncertainty and cost of managing complex cancer journeys
Cancer is the second leading cause of death in the U.S. and a top healthcare cost for most employers. Fortunately, research and advances are making cancer more treatable than ever before. With Quantum Health’s Personal Precision Oncology Management (PPOM) solution, employers can support members facing complex cancers with emerging treatment options that could make all the difference.
A multi-sport high school athlete, 51-year-old Eddie remained fit and active as a working adult. Given his history of robust health, he was devastated when a colonoscopy revealed cancer. Further testing showed that the cancer had spread to his lungs.
Fortunately, Eddie and his oncology team had access to breakthrough cancer treatment options since his employer offered PPOM to its health plan members.
Solution
Personal Precision Oncology Management gives members a breakthrough advantage in their fight against cancer
Rethinking the treatment plan
Initially, Eddie’s oncologist proposed surgery to remove portions of his colon and lungs. With PPOM, world-renowned cancer experts were able to consult with his treating oncologist on the best emerging treatment options, based on their knowledge of ground-breaking research into Eddie's specific cancer type.
Genomics to the rescue
The cancer expert advised against surgery, believing it likely would not stop the cancer while posing unnecessary risks involving multiple organs. Instead, the cancer expert recommended genomic testing to see whether a targeted, early-stage medical treatment might be more effective and minimize the health risks.
Non-surgical success
Genetic testing revealed that a new chemotherapy drug had the potential to drive Eddie’s cancer into remission. After a course of treatments, he slowly but steadily regained strength and resumed work and recreational activities. He began seeing his oncologist regularly to ensure that the cancer remained in check.
Results
Personalized employee advocacy delivers better outcomes and savings
Quantum Health’s core healthcare navigation and care coordination solution offers extensive benefits guidance and clinical support to members on cancer journeys.
By adding PPOM, you’re elevating the support members receive to include precision medicine and genomic testing for complex cancer diagnoses. You’re also creating potential for controlling future cancer-related claims costs.
Exploring better options
In nearly 80% of complex cancer cases supported by PPOM, a precision medicine expert recommends treatment plan changes resulting in improved survivability and a reduction in side effects.
Avoided cancer costs
Avoiding surgery made Eddie’s journey and recovery shorter and less physically and emotionally taxing. Meanwhile, he and his employer’s plan were spared nearly $80,000 in unnecessary surgical expenses.
Building confidence
Besides the enhanced treatment plans and prognoses that come with PPOM, members can gain emotional strength and confidence knowing national cancer experts and their treating oncologists align on the best treatment approach.
