We appreciate and support the President's concern to decrease the costs of health care. We are working with the Congress on new processes and payment models to further increase the quality and efficiency of cancer care. However, continuing reductions in payment for cancer drugs and other treatment related services undermine our efforts to ensure and enhance the delivery of quality, accessible, and efficient cancer care. We have evolved the world's best cancer care delivery system over the last 40 years, but it is now in crisis. The sequester cut to cancer drugs is accelerating that crisis and certain budget provisions will worsen it further.
We ask Congress to strengthen the nation's cancer care delivery by interceding to correct an already flawed Medicare payment system and to immediately stop the sequester cut to cancer drugs. Legislation has already been introduced in the Congress (H.R. 800 and H.R. 1416) that would accomplish those two objectives. We also ask Congress to stop any administrative actions and reject budget proposals that will jeopardize the delivery of quality, efficient cancer care for seniors and all Americans battling cancer.
 Sections 1847A and 1842(o) of the Social Security Act.
 OMB M-13-03; Memorandum for the Heads of Executive Departments and Agencies, January 14, 2013, accessed at http://www.whitehouse.gov/sites/default/files/omb/memoranda/2013/m-13-03.pdf Community Oncology Practice Impact Report; Community Oncology Alliance, March, 2012  Site of Service Cost Differences for Medicare Patients Receiving Chemotherapy. Milliman, October, 2011.  Site of Service Cost Differences for Medicare Patients Receiving Chemotherapy. Milliman, October, 2011. SOURCE Community Oncology Alliance