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width="1.25rem" xmlns="http://www.w3.org/2000/svg"><polyline points="6 9 6 2 18 2 18 9"></polyline><path d="M6 18H4a2 2 0 0 1-2-2v-5a2 2 0 0 1 2-2h16a2 2 0 0 1 2 2v5a2 2 0 0 1-2 2h-2"></path><rect x="6" y="14" width="12" height="8"></rect></svg></a></button></div></div><div><div class="flex flex-wrap"><p class=" text-primary font-semibold">Commentary</p><div class="h-[16px] border-l-2 border-gray-400 mt-1 mx-1"></div><p class=" text-primary font-semibold">Podcast</p><div class="h-[16px] border-l-2 border-gray-400 mt-1 mx-1 "></div><time class="text-gray-500 " dateTime="2024-05-14T16:00:00.000">May 14, 2024</time></div><h1 class="text-[26px] font-medium leading-8">Cancer Care Crisis: Illinois CancerCare Experts Discuss CMS Restrictions Impacting Rural Patients With Cancer</h1><div class="py-3 text-gray-600 md:flex flex-col md:justify-between"><div class="flex flex-col xs:flex-row"><p class="mr-1 self-start">Author(s):</p><div class="flex flex-col xs:flex-row mb-3 md:mb-0"><div class="flex flex-wrap"><span class="text-md mr-2"><a class="text-author text-gray-500 hover:text-primary underline hover:no-underline decoration-gray-400" href="/authors/brooke-mccormick">Brooke McCormick</a></span></div></div></div><div class="max-w-full"><div class="flex flex-wrap sm:flex-nowrap items-center w-fit my-2"></div><div class="w-full flex flex-col sm:flex-row justify-between mt-2"><div class="block md:hidden "><div class="mt-2 flex items-center max-w-fit"><button title="Cancer Care Crisis: Illinois CancerCare Experts Discuss CMS Restrictions Impacting Rural Patients With Cancer" aria-label="facebook" class="react-share__ShareButton" style="background-color:transparent;border:none;padding:0;font:inherit;color:inherit;cursor:pointer"><svg viewBox="0 0 64 64" width="32" height="32"><circle cx="32" cy="32" r="31" fill="#3b5998"></circle><path d="M34.1,47V33.3h4.6l0.7-5.3h-5.3v-3.4c0-1.5,0.4-2.6,2.6-2.6l2.8,0v-4.8c-0.5-0.1-2.2-0.2-4.1-0.2 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style="background-color:transparent;border:none;padding:0;font:inherit;color:inherit;cursor:pointer"><svg viewBox="0 0 64 64" width="32" height="32"><circle cx="32" cy="32" r="31" fill="#7f7f7f"></circle><path d="M17,22v20h30V22H17z M41.1,25L32,32.1L22.9,25H41.1z M20,39V26.6l12,9.3l12-9.3V39H20z" fill="white"></path></svg></button><a class="print-wrap flex justify-center items-center cursor-pointer"><svg id="print" xmlns="http://www.w3.org/2000/svg" width="24" height="24" fill="currentColor" class="print bi bi-printer" viewBox="0 0 16 16"> <path d="M2.5 8a.5.5 0 1 0 0-1 .5.5 0 0 0 0 1z"></path> <path d="M5 1a2 2 0 0 0-2 2v2H2a2 2 0 0 0-2 2v3a2 2 0 0 0 2 2h1v1a2 2 0 0 0 2 2h6a2 2 0 0 0 2-2v-1h1a2 2 0 0 0 2-2V7a2 2 0 0 0-2-2h-1V3a2 2 0 0 0-2-2H5zM4 3a1 1 0 0 1 1-1h6a1 1 0 0 1 1 1v2H4V3zm1 5a2 2 0 0 0-2 2v1H2a1 1 0 0 1-1-1V7a1 1 0 0 1 1-1h12a1 1 0 0 1 1 1v3a1 1 0 0 1-1 1h-1v-1a2 2 0 0 0-2-2H5zm7 2v3a1 1 0 0 1-1 1H5a1 1 0 0 1-1-1v-3a1 1 0 0 1 1-1h6a1 1 0 0 1 1 1z"></path></svg></a></div><style> .print-wrap { width: 32px; height: 32px; background: #7F7F7F; border-radius: 100%; } .print { background: #7F7F7F; color: white; padding: 2px; border-radius: 100%; } </style></div></div></div></div><div class=" lg:w-full flex flex-col lg:flex-row lg:items-center lg:justify-end"></div><p class="py-2 mb-2 text-sm italic text-gray-600">On this episode of Managed Care Cast, experts from Illinois CancerCare discuss CMS regulations limiting the access of rural patients with cancer to medically integrated pharmacies.</p><div class="py-2"><div class="blockText_blockContent__TbCXh"><p class="pb-2">On this episode of Managed Care Cast, we're talking with Illinois CancerCare's Pankaj Kumar, MD, and Stephanie Parker, PharmD, 2 authors of a commentary published in the May 2024 issue of <em>The American Journal of Managed Care</em><sup class="text-inherit">®</sup>.</p><p class="pb-2"></p><p class="pb-2">Their commentary, <a target="_blank" href="https://www.ajmc.com/view/access-denied-cms-action-hurts-patients-with-cancer-in-rural-america">"Access Denied: CMS’ Action Hurts Patients With Cancer in Rural America,"</a> discusses how <a target="_blank" href="https://www.ajmc.com/view/stark-law-interpretation-disallows-medication-delivery-from-independent-physician-practices">recent CMS rules</a> restricted the access of rural patients with cancer to medically integrated pharmacies, emphasizing the need for regulatory change.</p><div style="min-height:700px"><noscript>Please enable Javascript</noscript></div><p class="pb-2">Listen above or on one of these podcast services:</p><p class="pb-2"><a rel="nofollow noreferrer noopener" target="_blank" href="https://podcasts.apple.com/us/podcast/managed-care-cast/id1177540313">iTunes</a><br/><a rel="nofollow noreferrer noopener" target="_blank" href="https://tunein.com/podcasts/Health--Wellness-Podcasts/Managed-Care-Cast-p937637/">TuneIn</a><br/><a rel="nofollow noreferrer noopener" 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loading="lazy"/></noscript></span></div><div class="w-full flex-wrap text-center text-sm mt-4 font-light no-underline text-white"></div></a></div></div><div class="relative block sm:hidden"><div class="mt-4 overflow-hidden"><div class="flex justify-between"><div class="flex items-center clear-both pt-4 pb-2 text-3xl lg:text-2xl xl:text-3xl min-w-fit ">Related Content </div><div class="hidden lg:flex w-full flex-col justify-end items-end"><div class="hidden w-full lg:flex flex-wrap pb-2 gap-x-2 gap-y-1 justify-end items-end"></div></div></div><div class="w-full mb-2 border border-secondary"></div><div class="lg:hidden flex flex-wrap items-center"></div><div class="flex flex-wrap w-full"><div class="jsx-ad50481d5ee26850 w-full h-full"><div><div><div class="text-[8px] text-center text-gray-500 hidden">Advertisement</div><div id="div-gpt-ad-infeed-1"></div></div></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/a-case-for-iron-deficiency-as-a-marker-of-inequality-in-care-access-and-treatment?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/a7faacd2fa8e7c7c69fd4060f3c1a5f5d28f148c-5369x3558.jpg?fit=crop&auto=format" alt="Blood testing - angellodeco - stok.adobe.com.jpg" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 22nd 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/a-case-for-iron-deficiency-as-a-marker-of-inequality-in-care-access-and-treatment?utm_source=www.ajmc.com&utm_medium=relatedContent">A Case for Iron Deficiency as a Marker of Inequality in Care Access and Treatment</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/giuliana-grossi">Giuliana Grossi</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/a-case-for-iron-deficiency-as-a-marker-of-inequality-in-care-access-and-treatment?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Iron deficiency represents more than a medical condition; it is a reflection of persistent health disparities, according to an editorial published in The Lancet Haematology.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/frameworks-for-advancing-health-equity-wellness-way?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/a1728e6a06fccde8af20d2308f860344f9776b8f-800x400.jpg?fit=crop&auto=format" alt="Managed Care Cast" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 21st 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/frameworks-for-advancing-health-equity-wellness-way?utm_source=www.ajmc.com&utm_medium=relatedContent">Frameworks for Advancing Health Equity: Wellness Way</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/giuliana-grossi">Giuliana Grossi</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/frameworks-for-advancing-health-equity-wellness-way?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">The Wellness Way facility was designed to improve access to comprehensive outpatient care and address social determinants of health for a diverse patient population.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex md:hidden justify-center items-center"></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/5-things-you-should-know-about-long-covid?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/927c76dfea978e131974955e60f9f2f29ca1a840-5472x3100.jpg?fit=crop&auto=format" alt="Long COVID impact concept. | Image credit: Anucha - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 22nd 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/5-things-you-should-know-about-long-covid?utm_source=www.ajmc.com&utm_medium=relatedContent">5 Things You Should Know About Long COVID</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/pearl-steinzor">Pearl Steinzor</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/5-things-you-should-know-about-long-covid?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">In the current landscape of vaccine skepticism and misinformation, it is important to understand the full impact of long COVID on quality of life, especially among vulnerable populations. </div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/breaking-the-cycle-the-importance-of-early-intervention-in-hidradenitis-suppurativa?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/4d74ae04b0508977864936ec08f2aaa199758e5c-1000x563.jpg?fit=crop&auto=format" alt="Managed Care Cast" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">October 29th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/breaking-the-cycle-the-importance-of-early-intervention-in-hidradenitis-suppurativa?utm_source=www.ajmc.com&utm_medium=relatedContent">Breaking the Cycle: The Importance of Early Intervention in Hidradenitis Suppurativa</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/giuliana-grossi">Giuliana Grossi</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/breaking-the-cycle-the-importance-of-early-intervention-in-hidradenitis-suppurativa?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Prompt care supports mental well-being, as hidradenitis suppurativa is often associated with depression and anxiety due to its physical and social challenges.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/balancing-life-and-myeloma-a-patient-centered-approach?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/6c4eacfe9c992d1f7ea48bbb7606ade7b9a0b9cf-1920x1080.jpg?fit=crop&auto=format" alt="Don M. Benson, MD, PhD, James Cancer Hospital" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 22nd 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/balancing-life-and-myeloma-a-patient-centered-approach?utm_source=www.ajmc.com&utm_medium=relatedContent">Balancing Life and Myeloma: A Patient-Centered Approach</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/maggie-l-shaw">Maggie L. Shaw</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/balancing-life-and-myeloma-a-patient-centered-approach?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">In this second part of our discussion with Don M. Benson, MD, PhD, from our recent Institute for Value-Based Medicine® event in Cleveland, Ohio, he explains how his ultimate goal for his patients is for them to live as long and as well as possible.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/to-improve-clinical-trial-equity-in-multiple-myeloma-just-ask?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/3e665a0c15a17fc3c7ade987a36f77617f865715-437x115.jpg?fit=crop&auto=format" alt="To Improve Clinical Trial Equity in Multiple Myeloma, Just Ask" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 22nd 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/to-improve-clinical-trial-equity-in-multiple-myeloma-just-ask?utm_source=www.ajmc.com&utm_medium=relatedContent">To Improve Clinical Trial Equity in Multiple Myeloma, Just Ask</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/mary-caffrey">Mary Caffrey</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/to-improve-clinical-trial-equity-in-multiple-myeloma-just-ask?utm_source=www.ajmc.com&utm_medium=relatedContent"></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div></div></div></div><div class="relative hidden sm:block"><div class="mt-4 overflow-hidden"><div class="flex justify-between"><div class="flex items-center clear-both pt-4 pb-2 text-3xl lg:text-2xl xl:text-3xl min-w-fit ">Related Content </div><div class="hidden lg:flex w-full flex-col justify-end items-end"><div class="hidden w-full lg:flex flex-wrap pb-2 gap-x-2 gap-y-1 justify-end items-end"></div></div></div><div class="w-full mb-2 border border-secondary"></div><div class="lg:hidden flex flex-wrap items-center"></div><div class="flex flex-wrap w-full"><div class="jsx-ad50481d5ee26850 w-full h-full"><div><div><div class="text-[8px] text-center text-gray-500 hidden">Advertisement</div><div id="div-gpt-ad-infeed-1"></div></div></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/a-case-for-iron-deficiency-as-a-marker-of-inequality-in-care-access-and-treatment?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/a7faacd2fa8e7c7c69fd4060f3c1a5f5d28f148c-5369x3558.jpg?fit=crop&auto=format" alt="Blood testing - angellodeco - stok.adobe.com.jpg" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 22nd 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/a-case-for-iron-deficiency-as-a-marker-of-inequality-in-care-access-and-treatment?utm_source=www.ajmc.com&utm_medium=relatedContent">A Case for Iron Deficiency as a Marker of Inequality in Care Access and Treatment</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/giuliana-grossi">Giuliana Grossi</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/a-case-for-iron-deficiency-as-a-marker-of-inequality-in-care-access-and-treatment?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Iron deficiency represents more than a medical condition; it is a reflection of persistent health disparities, according to an editorial published in The Lancet Haematology.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/frameworks-for-advancing-health-equity-wellness-way?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/a1728e6a06fccde8af20d2308f860344f9776b8f-800x400.jpg?fit=crop&auto=format" alt="Managed Care Cast" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 21st 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/frameworks-for-advancing-health-equity-wellness-way?utm_source=www.ajmc.com&utm_medium=relatedContent">Frameworks for Advancing Health Equity: Wellness Way</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/giuliana-grossi">Giuliana Grossi</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/frameworks-for-advancing-health-equity-wellness-way?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">The Wellness Way facility was designed to improve access to comprehensive outpatient care and address social determinants of health for a diverse patient population.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex md:hidden justify-center items-center"></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/5-things-you-should-know-about-long-covid?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/927c76dfea978e131974955e60f9f2f29ca1a840-5472x3100.jpg?fit=crop&auto=format" alt="Long COVID impact concept. | Image credit: Anucha - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 22nd 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/5-things-you-should-know-about-long-covid?utm_source=www.ajmc.com&utm_medium=relatedContent">5 Things You Should Know About Long COVID</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/pearl-steinzor">Pearl Steinzor</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/5-things-you-should-know-about-long-covid?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">In the current landscape of vaccine skepticism and misinformation, it is important to understand the full impact of long COVID on quality of life, especially among vulnerable populations. </div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/breaking-the-cycle-the-importance-of-early-intervention-in-hidradenitis-suppurativa?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/4d74ae04b0508977864936ec08f2aaa199758e5c-1000x563.jpg?fit=crop&auto=format" alt="Managed Care Cast" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">October 29th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/breaking-the-cycle-the-importance-of-early-intervention-in-hidradenitis-suppurativa?utm_source=www.ajmc.com&utm_medium=relatedContent">Breaking the Cycle: The Importance of Early Intervention in Hidradenitis Suppurativa</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/giuliana-grossi">Giuliana Grossi</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/breaking-the-cycle-the-importance-of-early-intervention-in-hidradenitis-suppurativa?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Prompt care supports mental well-being, as hidradenitis suppurativa is often associated with depression and anxiety due to its physical and social challenges.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/balancing-life-and-myeloma-a-patient-centered-approach?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/6c4eacfe9c992d1f7ea48bbb7606ade7b9a0b9cf-1920x1080.jpg?fit=crop&auto=format" alt="Don M. Benson, MD, PhD, James Cancer Hospital" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 22nd 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/balancing-life-and-myeloma-a-patient-centered-approach?utm_source=www.ajmc.com&utm_medium=relatedContent">Balancing Life and Myeloma: A Patient-Centered Approach</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/maggie-l-shaw">Maggie L. Shaw</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/balancing-life-and-myeloma-a-patient-centered-approach?utm_source=www.ajmc.com&utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">In this second part of our discussion with Don M. Benson, MD, PhD, from our recent Institute for Value-Based Medicine® event in Cleveland, Ohio, he explains how his ultimate goal for his patients is for them to live as long and as well as possible.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/to-improve-clinical-trial-equity-in-multiple-myeloma-just-ask?utm_source=www.ajmc.com&utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/3e665a0c15a17fc3c7ade987a36f77617f865715-437x115.jpg?fit=crop&auto=format" alt="To Improve Clinical Trial Equity in Multiple Myeloma, Just Ask" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 22nd 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/to-improve-clinical-trial-equity-in-multiple-myeloma-just-ask?utm_source=www.ajmc.com&utm_medium=relatedContent">To Improve Clinical Trial Equity in Multiple Myeloma, Just Ask</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/mary-caffrey">Mary Caffrey</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/to-improve-clinical-trial-equity-in-multiple-myeloma-just-ask?utm_source=www.ajmc.com&utm_medium=relatedContent"></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div></div></div></div><div class="pb-24"></div></div><script type="application/ld+json">{"@context":"https://schema.org","@type":"NewsArticle","headline":"Cancer Care Crisis: Illinois CancerCare Experts Discuss CMS Restrictions Impacting Rural Patients With Cancer","datePublished":"2024-05-14T16:00:00.000Z","dateModified":"2024-05-14T13:47:50Z","inLanguage":"en-US","image":"https://cdn.sanity.io/images/0vv8moc6/ajmc/453ff95d3edc29442e2af71658751e2f26adc78e-2500x2500.jpg?fit=crop&auto=format","mainEntityOfPage":{"@type":"WebPage","@id":"https://www.ajmc.com/view/cancer-care-crisis-illinois-cancercare-experts-discuss-cms-restrictions-impacting-rural-patients-with-cancer"},"publisher":{"@type":"Organization","name":"AJMC","logo":{"@type":"ImageObject","url":"https://www.ajmc.com/ajmc_logo_inverted.png"}},"keywords":"podcast,managed care cast,policy,CMS,drug access,stark law","articleBody":"On this episode of Managed Care Cast, we're talking with Illinois CancerCare's Pankaj Kumar, MD, and Stephanie Parker, PharmD, 2 authors of a commentary published in the May 2024 issue of The American Journal of Managed Care®.\n\n\n\nTheir commentary, \"Access Denied: CMS’ Action Hurts Patients With Cancer in Rural America,\" discusses how recent CMS rules restricted the access of rural patients with cancer to medically integrated pharmacies, emphasizing the need for regulatory change.\n\n\n\nListen above or on one of these podcast services:\n\niTunes\nTuneIn\nStitcher\nSpotify","description":"On this episode of Managed Care Cast, experts from Illinois CancerCare discuss CMS regulations limiting the access of rural patients with cancer to medically integrated pharmacies.","author":[{"@type":"Person","name":"Brooke McCormick"}]}</script></div></div><div class="flex-none w-[300px] z-[9999] relative hidden md:block"><div style="top:5rem" class="sticky custom-spacing"><div class="collapse-container " style="overflow:hidden;max-height:900px;transition:max-height .4s ease-in-out"></div></div></div></div><div id="div-gpt-ad-pixel" 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With continued momentum, the article stated the burden of iron deficiency can be reduced, enhancing the quality of life for millions worldwide."}],"_type":"block","style":"normal"},{"_key":"bf3fbdc13f53","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"2d0b2a3ad81e"}],"_type":"block","style":"normal"},{"children":[{"text":"Non-anemic iron deficiency is a common yet often overlooked condition that predominantly affects women, girls, and individuals in low- and middle-income countries (LMICs). 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For those who did see improvement, the median time to resolution was nearly 2 years.","_key":"bd46393f6d9a","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"cc4b29bc8cbb","markDefs":[]},{"markDefs":[],"children":[{"text":"","_key":"aba3a485c4ce","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"2f990b646e2b"},{"markDefs":[],"children":[{"_key":"e1d472ec43750","_type":"span","marks":[],"text":"Understanding the effects of iron deficiency separate from anemia can be complex."},{"_key":"0372013b0f93","_type":"span","marks":["superscript"],"text":"1"},{"text":" However, those with iron deficiency often experience symptoms like fatigue, weakness, intolerance to exercise, and cognitive difficulties. The implications are even more significant for pregnant individuals, as iron deficiency has been associated with adverse neurodevelopmental outcomes in infants.","_key":"1c3fc5b6e5f7","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"2d55ba5b754c"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"b084d12699350"}],"_type":"block","style":"normal","_key":"cea5fa013bf4"},{"_key":"43e8892b332a","markDefs":[],"children":[{"_type":"span","marks":[],"text":"The quality-of-life impact is significant, yet historical diagnostic practices often fail to capture the condition. Current evidence suggests that a ferritin level of 30 µg/L or less is sensitive and specific for diagnosing absolute iron deficiency. However, some experts advocate using a threshold of 50 µg/L to better identify affected individuals, the article acknowledged. 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Alternatively, intravenous iron is safe and effective but may be difficult to access due to logistical or financial barriers.","_key":"d92df4950774"}]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"316c3f70b3630"}],"_type":"block","style":"normal","_key":"0def125fc7c4"},{"_key":"e9c1b33e76d7","markDefs":[],"children":[{"text":"Functional iron deficiency typically requires treatment of the underlying inflammatory condition, adding another layer of complexity to its management. In LMICs, additional challenges exacerbate the issue. Food insecurity, untreated heavy menstrual bleeding, and increasing inflammatory conditions, such as obesity, contribute to the prevalence of iron deficiency. This condition often reflects broader health inequities and serves as an indicator of unmet nutritional and health care needs.","_key":"853955daff7d0","_type":"span","marks":[]}],"_type":"block","style":"normal"},{"style":"normal","_key":"39136b2b7afe","markDefs":[],"children":[{"text":"","_key":"dac55da0cb25","_type":"span","marks":[]}],"_type":"block"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Iron Deficiency: A Marker of Inequality","_key":"271c4f3a3e20"}],"_type":"block","style":"h3","_key":"ee96250f8f97"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Increased research has highlighted the widespread issue of iron deficiency, especially among women, and the difficulties in diagnosing and treating it. This increasing awareness should now lead to significant changes in health care to enable timely and effective diagnosis and management.","_key":"ab02d4c9e26f0"}],"_type":"block","style":"normal","_key":"5d31a61a3186"},{"_key":"3edc48e54eba","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"780bb2f62de2"}],"_type":"block","style":"normal"},{"children":[{"_key":"de30c4510d680","_type":"span","marks":[],"text":"\"Iron deficiency itself can serve as a marker of inequality and unmet health needs since it emerges when nutrition is not optimal or when a related condition or disease is not being adequately managed,\" the article stated. \"Numerous barriers to the recognition of non-[anemic] iron deficiency as a substantial health burden still exist.\""}],"_type":"block","style":"normal","_key":"343ce342c237","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"e762316edc5e"}],"_type":"block","style":"normal","_key":"b40f1e922351"},{"markDefs":[],"children":[{"text":"The need for improved diagnostic criteria, such as raising ferritin cutoff levels and incorporating measures for functional iron deficiency, was further emphasized. 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Leaving the complexities aside for a second, the principal goal of induction treatment is to alleviate suffering, get symptoms under control, get the disease in remission. I tell my patients, we're going to play offense, we're going to take the ball. We're playing offense, and the goal is a complete remission. The goal is to get you back to life before you heard those words that you have myeloma.","_key":"98a12fa87f160","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"a1c302885f65","markDefs":[]},{"markDefs":[],"children":[{"marks":[],"text":"","_key":"e5122cc087dd0","_type":"span"}],"_type":"block","style":"normal","_key":"b87ccab950ce"},{"_type":"block","style":"normal","_key":"4fa1f2e9a11a","markDefs":[],"children":[{"_type":"span","marks":[],"text":"We’re blessed. We can achieve that now for the vast majority of people within a few months.The challenge really isn't getting the disease under control nowadays, it's doing it in a way to minimize toxicities, minimize side effects, even down to things like time. How long are you in the clinic? How long are you away from your life? These are things that we never would have thought of 20 years ago. So I think starting with principles and then moving forward, once the disease is in remission.","_key":"903297a2544e0"}]},{"style":"normal","_key":"350f7d4b1a54","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"d68b2f25f9270"}],"_type":"block"},{"markDefs":[],"children":[{"_key":"6f14e254c8760","_type":"span","marks":[],"text":"We talk a little bit about this shared decision-making model of, we have a panoply of options available. What makes sense for you with your myeloma right now? Realizing that that answer might be different 2 years from now or 5 years from now. But what can we do right now to stay on our true north, that I want you to live as long as possible and as well as possible. And for some people, that's a transplant.For some people, that's maybe a CAR [chimeric antigen receptor] T cell. For some people, that might be stopping treatment and just taking a maintenance drug."}],"_type":"block","style":"normal","_key":"0e3a9819924f"},{"markDefs":[],"children":[{"_key":"cb0db495ec3c0","_type":"span","marks":[],"text":""}],"_type":"block","style":"normal","_key":"db2656198b38"},{"style":"normal","_key":"6d35a1abcd26","markDefs":[],"children":[{"marks":["strong"],"text":"What strategies can be implemented to support caregivers and enhance patient engagement throughout this journey?","_key":"e44a4e9608260","_type":"span"}],"_type":"block"},{"_key":"6c3f5f7fe4dd","markDefs":[],"children":[{"_key":"1dce3cf224050","_type":"span","marks":[],"text":""}],"_type":"block","style":"normal"},{"children":[{"_key":"1350599e72c50","_type":"span","marks":[],"text":"I can speak to my perspective at a referral center that the vast majority of people with myeloma are receiving care in community settings. Oftentimes, when we get involved at a referral center, at an academic center, there's potentially a question about transplant eligibility, about eligibility for a BiTE [bispecific T-cell engager] or a CAR T cell. But just as often, these are referrals that are like grassroots referrals, and it's often an adult child who's driving care.It's not the patient who's maybe 75 or 80 years old, it's an adult child who's gotten on the internet, who's going to support groups, who's done his or her homework, and is saying, “Mom, I really think it's worth the drive to this center. Not that we are unhappy with our care, not that we disagree with our care, but this is a rare cancer. Maybe it would make sense to have somebody look at your case and meet you once, who does it for a living, who sees it every day.”"}],"_type":"block","style":"normal","_key":"9a1ed96927d7","markDefs":[]},{"children":[{"_type":"span","marks":[],"text":"","_key":"87957829728e0"}],"_type":"block","style":"normal","_key":"c81bbcef117c","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"And I'm all about that. I think that's so important. Myeloma is a rare cancer, and I think the more that—the patient, obviously—but the patient's family, their loved ones, and most often it's the adult children—it's actually usually the oldest daughter for what it's worth, who's taking time off work, who's finding childcare, who's making sacrifices to make sure mom or dad is getting the best care possible. 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Three years prior, as the COVID-19 pandemic lingered and the conference remained virtual, Lori Pierce, MD, FASTRO, FASCO, delivered her remarkable Presidential Address, “Equity: Every Patient. Every Day. Everywhere,” which touched on all the ways that overt racism and socioeconomic disparities create gaps in outcomes between White and Black patients.","_key":"d484e77feff70"},{"marks":["superscript"],"text":"1","_key":"340886c2d50e","_type":"span"}],"_type":"block"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Some asked then whether the focus on equity would fade once the pandemic ended and the world returned to normal. However, ","_key":"d120277affce"},{"_type":"span","marks":["em"],"text":"The American Journal of Managed Care","_key":"09a43c5c6f46"},{"_type":"span","marks":[],"text":" vowed to highlight these issues for the long haul through the Center on Health Equity \u0026 Access—and we are keeping that promise. So, we couldn’t ignore how few Black patients were enrolled in a pair of important multiple myeloma trials that had results presented at ASCO.","_key":"8fb55cc302ae"},{"marks":["superscript"],"text":"2","_key":"e53284442299","_type":"span"}],"_type":"block","style":"normal","_key":"837bca01b80b"},{"style":"normal","_key":"d7ed52e524f9","markDefs":[],"children":[{"_type":"span","marks":[],"text":"IMROZ (NCT03319667) and PERSEUS (NCT03710603) involved quadruplet regimens for groups of newly diagnosed patients: 2 different anti-CD38 monoclonal antibodies, each given with a backbone of bortezomib, lenalidomide, and dexamethasone. Results for one study were so promising that an expert asked whether the lines between transplant eligible and transplant ineligible were still needed.","_key":"4a60639aaea5"},{"_type":"span","marks":["superscript"],"text":"2","_key":"3ec066a6e790"}],"_type":"block"},{"_key":"33ca6d8f0380","markDefs":[],"children":[{"_type":"span","marks":[],"text":"These 2 trials could markedly shift care for many of the 35,000-plus individuals in the US who are annually diagnosed with multiple myeloma, which is well known to disproportionately affect the Black patient population. In a decade, Black patients will account for one-quarter of those newly diagnosed with myeloma in the US.","_key":"b050f76f8342"}],"_type":"block","style":"normal"},{"_key":"fe3126b5f3dc","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Just as IMROZ and PERSEUS were launching, the FDA warned that among all patients enrolled in myeloma trials for drug indications between 2003 and 2017, only 4.5% were Black. The trials opened, and together they randomized 1155 patients. Thirteen were Black.","_key":"55682920efa2"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"The explanation that Flinn received in his reporting is that location matters. Trials based outside the US, especially those centered in Europe, were more likely to have a larger enrollment of White patients. Testing sites in the US are more diverse. When we reached Joseph Mikhael, MD, an expert and advocate in this area and the chief medical officer for the International Myeloma Foundation, he said that efforts are ongoing to address the different metrics that emerge from European-based trials. But it really comes down to FDA asking the right questions.","_key":"327f69fef505"}],"_type":"block","style":"normal","_key":"33c7dcd538e6"},{"children":[{"_type":"span","marks":[],"text":"The FDA is taking notice. In June, it issued a draft guidance for the industry on Diversity Action Plans that would be required for certain clinical studies. The question is: What happens next?","_key":"ae1713f6ab71"}],"_type":"block","style":"normal","_key":"f8e5593941a7","markDefs":[]},{"markDefs":[],"children":[{"text":"At a May forum hosted by Citeline, Bob Zambon, a vice president for Syneos Health, said nothing will propel change more than the FDA telling a company “no” over lack of diversity. “What will drive this most of all,” Zambon said, “is the FDA saying, ‘Either do it or we’re not going to approve your drug.’”","_key":"ee2068a6996a","_type":"span","marks":[]},{"_type":"span","marks":["superscript"],"text":"3","_key":"1ff412e35fa8"}],"_type":"block","style":"normal","_key":"dad826a2568d"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Change means identifying the barriers to participation and taking them on. It means going to where the patients are. It means making connections with community leaders who patients trust, such as pastors or primary care physicians. It means working with community oncologists to bring trials into remote areas. It also means not making assumptions about who can be in a trial, Pierce said.","_key":"c3431fd94816"}],"_type":"block","style":"normal","_key":"f2e7783714ea"},{"_key":"a330335e2901","markDefs":[],"children":[{"_type":"span","marks":[],"text":"“This is not an issue for the public, for the medical community, for the pharmaceutical community, for the regulatory agencies, for the government,” Mikhael said. “It’s really one that involves all of us.”","_key":"5623f5828d9d"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"marks":[],"text":"Most of all, as the effort by ASCO and the Association of Cancer Care Centers suggests, it calls on physicians to “just ask.” \n\n","_key":"395e17750805","_type":"span"},{"_type":"span","marks":["strong"],"text":"References","_key":"f4e84a0a1501"},{"_type":"span","marks":[],"text":"\n1. Pierce L. 2021 presidential address: equity: every patient. every day. everywhere. ASCO Connection. June 7, 2021. Accessed November 1, 2024. https://connection.asco.org/magazine/features/2021-presidential-address-equity-every-patient-every-day-everywhere\n2. Caffrey M, Shaw ML. Multiple myeloma. ","_key":"473d47d7a475"},{"_key":"f1169dcb2b57","_type":"span","marks":["em"],"text":"Am J Manag Care"},{"_type":"span","marks":[],"text":". 2024;30(Spec 8):SP608-SP617.\n3. Karlin-Smith S. ‘Do it or we’re not going to approve your drug:’ industry reps as FDA for trial diversity sticks. Pink Sheet. May 13, 2024. Accessed October 28, 2024. https://insights.citeline.com/PS154696/Do-It-Or-Were-Not-Going-To-Approve-Your-Drug-Industry-Reps-Ask-FDA-For-Trial-Diversity-Sticks/","_key":"4bef88cc8911"}],"_type":"block","style":"normal","_key":"dec0ba64830f"}],"issueSection":{"_ref":"section_issue_commentary","_type":"reference"},"thumbnail":{"_type":"mainImage","asset":{"_ref":"image-3e665a0c15a17fc3c7ade987a36f77617f865715-437x115-jpg","_type":"reference"}},"issueGroup":{"_ref":"477f9888-ea5b-4621-bb40-41487563b322","_type":"reference"},"articleType":"Commentary","authors":[{"displayName":"Mary Caffrey","url":"mary-caffrey"}],"factCheckAuthorMapping":null,"documentGroupMapping":null,"_rev":"HwE5PzPdkhb4dxbtVHREN5","audioUrl":"https://s3.us-east-1.amazonaws.com/ai-generated-audios/www.ajmc.com/5877a6f2-9fdc-47af-8a5c-89e09960f92a_1732279275872.11fec1f7-a037-4e89-a612-5b0b7ab2a0d3.mp3","_createdAt":"2024-11-22T12:41:14Z","_type":"article","factCheckAuthors":null,"url":"to-improve-clinical-trial-equity-in-multiple-myeloma-just-ask","drugMentions":"{\n \"drug_mentions\": [\"bortezomib\", \"lenalidomide\", \"dexamethasone\"]\n}","ExcludeFromPubMedXML":false,"is_visible":true,"pageNumber":"SP887","contentCategory":{"_createdAt":"2020-04-03T20:03:53Z","_rev":"Q2ZL7ihdIB33NiMMcGccmh","_type":"contentCategory","name":"Articles","_id":"3f4b3ced-7c9d-4fc4-967f-fe993087cce2","_updatedAt":"2023-09-29T14:32:27Z"},"authorMapping":[{"displayName":"Mary Caffrey","_createdAt":"2020-05-05T10:50:00Z","_rev":"fWre465xUeSiaQm83HJghZ","_type":"author","_id":"author_6732921f288a3775abb89da57903428b","biography":[{"markDefs":[],"children":[{"text":"Mary Caffrey is the Executive Editor for The American Journal of Managed Care® (","_key":"9737335da1ed0","_type":"span","marks":[]},{"_type":"span","marks":["em"],"text":"AJMC","_key":"b8dda18bb0dc"},{"_type":"span","marks":[],"text":"®). 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