Correction to "Financial navigation: staff perspectives on patients’ financial burden of cancer care

Askelson, Natoshia

Cole, Allison

Davis, Melinda

Eberth, Jan M.

Edward, Jean

Farris, Paige E.

Frost, Elizabeth L.

Gonzalez, Sarah Koopman

Ko, Linda K.

Petermann, Victoria

Rohweder, Catherine

Seegmiller, Laura

Shannon, Jackilen

Stradtman, Lindsay

Teal, Randall

Trapl, Erika

Vanderpool, Robin C.

Vu, Maihan

Vu, Thuy

Wheeler, Stephanie B.

White, Arica

Yeager, Katherine A.

Zahnd, Whitney E.

English

Carolina Digital Repository

Vol.:(0123456789) Journal of Cancer Survivorship (2024) 18:631–632 https://doi.org/10.1007/s11764-022-01191-2CORRECTIONCorrection to: Financial navigation: staff perspectives on patients’ financial burden of cancer careKatherine A. Yeager1 · Whitney E. Zahnd2,3 · Jan M. Eberth3 · Robin C. Vanderpool4 · Catherine Rohweder5 · Randall Teal5 · Maihan Vu5 · Lindsay Stradtman4 · Elizabeth L. Frost6 · Erika Trapl6 · Sarah Koopman Gonzalez6 · Thuy Vu7 · Linda K. Ko7 · Allison Cole7 · Paige E. Farris8 · Jackilen Shannon8 · Natoshia Askelson2 · Laura Seegmiller2 · Arica White9 · Jean Edward4 · Melinda Davis8 · Victoria Petermann5 · Stephanie B. Wheeler5Published online: 22 February 2022 © Springer Science+Business Media, LLC, part of Springer Nature 2022The online version of the original article can be found at https:// doi. org/ 10. 1007/ s11764- 022- 01175-2. * Katherine A. Yeager  kyeager@emory.edu1 Emory University, Atlanta, GA, USA2 University of Iowa, Iowa City, IA, USA3 University of South Carolina, Columbia, SC, USA4 University of Kentucky, Lexington, KY, USA5 University of North Carolina at Chapel Hill, Chapel Hill, NC, USA6 Case Western Reserve University, Cleveland, OH, USA7 University of Washington, Seattle, WA, USA8 Oregon Health & Science University, Portland, OR, USA9 Centers for Disease Control and Prevention, Atlanta, GA, USACorrection to: Journal of Cancer Survivorship                      https://doi.org/10.1007/s11764-022-01175-2In the original article, there is text in Table 2 that is not lined-up.The revised Table 2 is given below.The original article has been revised.Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.632 Journal of Cancer Survivorship (2024) 18:631–6321 3Table 2  Communications about financial issuesAbbreviations: COC Commission on Cancer accredited, non-COC non-Commission on Cancer accredited, RUCC Rural-Urban Continuum CodeTheme Representative quote (cancer program type, RUCC)Patient expectations I’ve actually had several patients that get upset at the doctors when they first meet them for the consult never had said anything to them about the cost. A lot of patients want to know before  they consent to treatment how much stuff is going to be? FSC_6I don’t think the patients feel like it is the providers role. Actually, I mean, our pharmacy often picks up that piece.  If it’s the medication, they end up talking with them about the financial concerns or applying for this or that or copays or what not.  It seems to the pharmacy that might pick that up as the provider person that would talk about it, but I don’t hear from patients that they wish their provider would have talked about it. COC_RUCC_6Providers role/not involved No, I don’t think from what I have talked to patients is that providers usually do not talk to them about financial stuff at all.  They rarely even know what’s paying for the visit or what insurance they have.  So when they have frustrations, it’s usually outside of the provider office and being referred someplace that maybe the clinic refers them someplace that doesn’t take their coverage or doesn’t have charity care. They have barriers to that care because nobody is identifying what their financial situation is. COC_RUCC_3I would say that they’re not really talking about it.  I think that our providers don’t talk about it.  I  think that they just send us in and say, “Figure it out with them.”  I don’t think that they understand that we have limitations.  It’s not like we can replace someone’s like full salary for six months, you know?  We don’t have that.  What does that look like?  COC_RUCC_2Providers role/involved And I’ve got one provider that calls me and he’s like, “You know, this is the treatment plan that I’m thinking.  Patient’s self-pay. I need you to get drug replacement so that I can get this patient on you know, this.  “And it’s, like [laughs], “Okay”. But he is actually very aware of what the cost are, and that that’s gonna be an issue.  And so, he’s kind of like the standard that you want your docs to be, because he does, he actually will call me and say, “This is my treatment plan.  How can we make that happen”? COC_RUCC_3Lack of patient knowledge Well, and a lot of people are not insurance savvy, and so, they think they’ve got Medicare so Medicare is gonna pay for everything. Not realizing with just straight Medicare, that there’s, like, no cap. So, it’s 80/20, but that 20 percent goes on forever and ever. Whereas, with commercial insurances or some of the HMOs, there’s actually an out of pocket maximum that you reach, and then you don’t have any more than that amount of money. And so, I mean, people have never heard of the word – you know, explanation of benefits, that’s just that annoying piece of paper that they get. And all of a sudden you’re asking them to pay attention to that, and to be aware of what that is, and deductibles, and out of pocket maximums, and all these words they’ve never really considered before.  COC_RUCC_3Sensitive topic to discuss /difficult to discloseThere’s a lot of patients that have never had to ask for help in their lives, that this affects, and all of a sudden they feel like they’re asking for welfare. I had a patient just crying when I was talking to him about, “You know, this is what I do, and not that you’re gonna need it, but this is what I do.” And he started crying and he was, like, “I’ve never had to ask for help before. I don’t understand how I’m gonna do this,” because he couldn’t work. I mean, radiation is every single day and sometimes for six weeks. And so, you know, it certainly cuts down on the pay-check. And when you’re living paycheck to paycheck successfully, something like this makes it almost impossible to maintain that.  COC_RUCC_3But we also in looking at things, when people are asked to disclose their financials, if we’re gonna try to get them help, a lot of them don’t wanna disclose it because you know, they’ve got the family farm that’s gonna be inher-ited for the children and they’re thinking about that and they really are afraid to discuss what assets they have. Because they don’t wanna lose that family farm. Some of them are to the point thinking, I’m sixty years old. I’ve lived a good life. I wanna leave everything to my children so I won’t do anything. I’m not going to even try to get help for this. It’s cheaper if I don’t. It’s tragic. COC_RUCC_7

Correction to: Financial navigation: staff perspectives on patients’ financial burden of cancer care

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Correction to: Financial navigation: staff perspectives on patients’ financial burden of cancer care

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