Feasibility and acceptability of FinCare: A personalized online tool for estimating out-of-pocket costs for cancer treatment - Summary - MDSpire

Feasibility and acceptability of FinCare: A personalized online tool for estimating out-of-pocket costs for cancer treatment

  • By

  • Carolyn Y. Fang

  • Amani Boudriga

  • Amine Raounak

  • Howard Isenstein

  • Brian L. Egleston

  • Erin Tagai

  • Melissa McShane

  • Efrat Dotan

  • Daniel M. Geynisman

  • July 14, 2026

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Objective:

To evaluate the feasibility and acceptability of an online tool (FinCare) designed to estimate patient-specific out-of-pocket (OOP) costs for cancer therapy.

Approach:
  • Study Participants: Patients receiving treatment from a comprehensive cancer center who were starting a new regimen of intravenous anti-cancer therapy were recruited. Exclusions included those receiving neo-adjuvant therapy, participating in clinical trials, or covered under multiple insurance plans.
Key Findings:
  • 42% of cancer patients report significant financial burden.
  • Financial toxicity is linked to distress, treatment delays, and poorer clinical outcomes.
  • Patients often lack access to information about OOP costs, complicating treatment decisions.
Interpretation:

The study highlights the need for tools like FinCare to assist patients in understanding their financial responsibilities related to cancer treatment.

Limitations:
  • The pilot study was limited to patients with Independence Blue Cross PPO insurance.
  • The tool was only tested for intravenous anti-cancer therapies.
Conclusion:

FinCare may provide valuable assistance in estimating OOP costs for cancer therapy, addressing a significant gap in patient support.

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