Cancer Treatment Coverage In European Health Insurance: Advances And Gaps – SINGAPORE: The Ministry of Health (MOH) announced on Tuesday (August 17) that the structure of the MediShield Life scheme for outpatient cancer drug treatment claims will change from September next year.
The council recommended that the authorities draw up a list of clinically proven and cost-effective outpatient cancer treatments, allow these cancer treatments to be claimed under MediShield Life, and set more detailed claim limits to better cover the costs of each treatment Based on. .
Cancer Treatment Coverage In European Health Insurance: Advances And Gaps
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Cancer patients can claim between S$200 and S$9,600 a month based on the cost of their treatment if the treatment is on the “positive list”.
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The current limit is S$3,000. The new MediShield Life claim limits for cancer drug treatments are determined on the basis of post-subsidy bills.
The list covers 90 percent of the treatments available in the public sector. Most of these treatments are clinically proven and cost-effective.
However, some commonly used treatments that do not meet the clinical and cost-effectiveness criteria will also be included. Such treatments are assigned a claim limit similar to their subsidized alternatives.
“There are patients who find that their current treatment can no longer be claimed, or reduce the claim limit without extending support,” the Department of Health added.
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The changes will be implemented in September next year to “allow sufficient time” for existing patients to complete their current treatment and, if necessary, adjust their treatment plans to another treatment that is “effective, cost-effective and eligible” for MediShield. Life insurance claims and subsidies – announced the MOH.
MediSave withdrawal limits for outpatient chemotherapy and outpatient cancer examinations will be changed in parallel with the changes in MediShield Life.
Patients can claim S$1,200 per month for cancer drug treatments if MediShield Life exceeds the S$5,400 claim limit, and S$600 per month for other treatments on the “positive list”.
They can also claim an additional S$600 per year for cancer drug services and/or other cancer screenings, including post-treatment monitoring and radiotherapy.
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Patients supported in state healthcare institutions currently receive up to 75 percent drug support within the framework of the Standard Medication List and Medication Assistance Fund.
Following price negotiations with drug manufacturers to achieve better drug prices and cost-effectiveness, an additional 55 anticancer drugs are eligible for such support.
The government supports more cancer drug treatments and extends the support of the Medical Aid Fund to more Singaporeans by raising the eligible income criteria, the MOH said.
A subsidy of up to 50 per cent from the Pharmaceutical Assistance Fund will be extended to Singaporeans with a per capita household income of between S$2,800 and S$6,500 per month who are currently not receiving subsidies.
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Currently, most IPs cover outpatient drug treatment for cancer at an additional cost, with a general annual limit.
To ensure that Integrated Shield plans are “consistent with encouraging the use of clinically proven and cost-effective cancer drug treatments”, they must cover only treatments on MediShield Life’s “positive list” and set claim limits for each cancer. drug treatment.
These changes will apply to all Integrated Shield plans sold or renewed starting in April 2023. These changes do not affect riders on the Integrated Shield Plan, who are paid in full in cash.
We know that switching browsers can be a hassle, but we want your CNA experience to be fast, secure, and the best it can be. The European Code of Cancer Practice (The Code), translated into many languages, is a citizen and a patient. a manifesto at the heart of the core requirements of good clinical cancer practice to achieve better outcomes for all cancer patients in Europe.
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It was created jointly by a team of cancer patients, patient advocates and cancer specialists. It has its origins in the European Cancer Patient Bill of Rights, which was launched in the European Parliament on World Cancer Day 2014 and won the prestigious 2018 European Health Prize.
The code focuses on informing and helping cancer patients at every stage of their cancer journey. It sets out 10 key overarching rights and, in particular, indicates what patients can expect from their healthcare system in order to achieve the best possible outcomes. It is an empowering tool to ensure that European citizens and patients receive the best care available. Each of the 10 overarching rights is linked to three questions that the patient/parent/guardian can ask their healthcare professionals.
You have the right: Equal access to affordable and optimal cancer care, including the right to a second opinion.
Cancer patients in Europe should receive affordable, best available cancer care in their own country, comparable to other high-quality cancer care in Europe. The cornerstone of the Code is the right of European cancer patients to have equal access to such cancer care, choosing where and by whom to treat, all cancer patients should be given the opportunity with their families/carers, health professionals that the care they provide is the best available within their health system and whether it meets good clinical cancer practice as required by clinical guidelines.
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You have the right to: Get information about your illness and treatment from your medical team and other trusted sources, including patient and professional organisations.
European cancer patients have the right to reliable, high-quality, comprehensive information from their hospital about their disease, its treatment and the consequences of treatment. Patients should be informed that they can ask questions about their disease and its treatment, and receive information about nutrition, physical activity, psychological aspects, etc. The hospital should also refer the patient to patient organizations that can provide invaluable information and support on many levels. The information given during the consultation must be supported by high-quality, relevant and clearly written materials, with appropriate explanations for each patient.
You have the right to: be informed about the quality and safety of care, the level of expertise and the results for your type of cancer at the center where you are being treated.
Cancer patients in Europe must have access to information about the care they receive and the results they receive, enabling patients to make informed decisions about their treatment and where it is provided. Specialized cancer care should be provided by a team of health professionals experienced in a specific cancer and its treatment. Patients have the right to know the expertise and experience of the healthcare professionals and teams who care for them. Applying the basic requirements of the European Cancer Organization for quality cancer care can help ensure the best care available.
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You have the right to: Receive care from a specialist multidisciplinary team, ideally as part of a cancer care network. Three key questions every cancer patient can ask:
Care for cancer patients in Europe must be organized to make the best decisions about treatment choices, ensuring that the best available care is delivered in the most efficient and timely manner, as close as possible to the patient’s home. The two proposed organizational structures are the specialized multidisciplinary team (MDT) and the cancer network. These bring together all the different healthcare professionals whose combined knowledge ensures that the best treatment options are discussed with the patient and shared decision making (SDM) takes place, ensuring that a well-informed decision is made about the patient’s individual treatment. and care.
Cancer patients in Europe must have a choice in making decisions about their care. This choice should include Shared Decision Making (SDM). A shared or collaborative approach is increasingly used, in which the doctor recommends a specific treatment but after careful discussion takes into account the patient’s situation and opinion. SDM allows patients to be fully informed before making any decisions about their treatment. It is a key element of patient engagement and participation in cancer care as healthcare professionals encourage patients to influence their own care and the delivery of healthcare services.
You have the right to: receive information about ongoing research relevant to you, as well as your ability and eligibility to participate in research. Three key questions every cancer patient can ask:
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European cancer patients should be informed about all ongoing research and innovation (including clinical trials) within the cancer service providing care. Clinical cancer research provides evidence that patients receive the best care available, improving health care, leading to better outcomes and a better quality of life for patients. Evidence shows that hospitals participating in research provide better care, achieve higher levels of patient satisfaction, and have better patient survival compared to hospitals not active in research. Patients must be assured by the clinical team that their care will not be adversely affected by not participating in the clinical research or withdrawing from the research.
You have the right to: Discuss with your healthcare team your priorities and preferences in order to achieve the best possible quality of life.
European cancer patients should expect to live as normal as possible with optimal quality of life after diagnosis, during treatment and during survival. Patients should be thoroughly informed about the medical and non-medical aspects of care and survival. Patients and their health care professionals must work together for preservation
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