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Clinical Benefit—not Billing Margin—Drives Oncologists’ Treatment Choices in Medicare Cohort

MedXY Editorial Team•Nov 22, 2025•Hematology-Oncology
health policyMedicareoncology

Highlights

– In a retrospective, population-based Medicare cohort (2015–2020), treatment selection across 12 cancer indications was associated with higher clinical benefit (NCCN Evidence Blocks) but not with provider billing margin.

– Provider billing margin per course varied widely (up to $12,692) but a $100 increase in margin did not raise the odds of a treatment being chosen (OR 0.97, 95% CI 0.91–1.03).

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This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.

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