FCS Fixed + Mobile Radiology Sites | 5
People + Places | 10
Cancer 360
FCS Foundation Update | 11
FCS
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE
WINTER 2017
Next-Generation Diagnostic Imaging | 3 Q+A: 5 Questions with Dr. Hugo Davila | 6
Seeking the Cure for Escalating Cancer Costs | 8
World Class Medicine. Hometown Care.
World Class Medicine. Hometown Care.
Oncology Care Model provides individualized care plans for chemotherapy patients In 2016, the Center for Medicare & Medicaid Innovation announced a select list of oncology practices across the nation that had been chosen to participate in the Oncology Care Model (OCM), an innovative new care delivery model that supports and encourages higher quality, more coordinated cancer care for patients undergoing chemotherapy. Florida Cancer Specialists is proud to be among the practices chosen to pilot this new initiative. Participation in this initiative will reinforce our commitment to continually improving both the quality and value of the care we provide. Cancer is one of the most common diseases in the United States, with more than 1.6 million people diagnosed each year. The majority of those diagnosed are Medicare beneficiaries, over the age of 65. At FCS, all patients with traditional Medicare Part A and Part B undergoing active treatment for cancer will be participating in the Oncology Care Model.
2
There are several modifications that we have implemented in order to meet the requirements of the OCM. A number of these have already resulted in enhanced services and additional benefits for our patients, such as: • Implementing a comprehensive Care Management Program that provides each program participant a dedicated Care Manager that collaborates with the local care team and is accessible 24/7 • Coordinating appointments with providers within and outside the oncology practice to ensure timely delivery of diagnostic and treatment services • Ensuring timely discharge and transition of patients from the inpatient setting • Arranging for diagnostic scans and follow-up with other members of the medical team, such as surgeons, radiation oncologists and other specialists who support the beneficiary through their cancer treatment • Continued utilization of nationally recognized guidelines for treatment • Providing access to additional patient resources, such as emotional support groups, pain management services and clinical trials • Access to licensed social workers to assist patients with advanced directives and planning • Robust survivorship programs to ensure patients continue to receive access to the appropriate services post treatment The cornerstone of this initiative is our Care Management Program. Associate Director Don Champlain will oversee the initiative and ensure that there is a seamless and collaborative effort between this department and FCS physicians, physician extenders, nurses, financial counselors and other staff within the FCS organization. In addition to the normal services our patients receive today, each OCM patient will be assigned a Care Manager (nurse) and will have access to 24/7 support from the Care Management team. The patient will also receive education on the OCM, triage support, individualized care plans, and information regarding community resources. All OCM patients receiving therapy will receive a call 24-48 hours post chemotherapy to assess for any side effects and offer symptom management. Brad Prechtl, MBA Chief Executive Officer 2
Cancer 360
FCS
WINTER 2017
Florida Cancer Specialists & Research Institute William N. Harwin, MD President & Founder EXECUTIVE BOARD: Jose Alemar, MD Roy Ambinder, MD Jorge Ayub, MD Todd Schonherz Michael Diaz, MD Chief Operating Officer Lucio Gordan, MD Joel Grossman, MD Tom Clark William N. Harwin, MD Chief Legal Officer Maen Hussein, MD Julio Lautersztain, MD Shelly Glenn Chief Marketing & Sales Officer Scott Lunin, MD Vikas Malhotra, MD Sarah Cevallos Noel A. Maun, MD, PhD Chief Revenue Cycle Officer Stephen Orman, MD Ivor Percent, MD PHYSICIAN LEADERSHIP: Marilyn Raymond, MD Michael Diaz, MD Frank Rodriguez, MD Lucio Gordan, MD Shalin Shah, DO Lowell L. Hart, MD Gerald Sokol, MD, MSc, FCP William N. Harwin, MD Stephen V. Orman, MD James A. Reeves Jr., MD EXECUTIVE MANAGEMENT: Brad Prechtl, MBA Chief Executive Officer
PUBLICATION TEAM MANAGING EDITOR Maria Ramos-Person PUBLISHER/CREATIVE DIRECTOR Steve Smith WRITER David Chesnick COPY EDITOR Susan Hicks ART DIRECTOR Rosie White
-
Cancer 360 Plus is published by Florida Cancer Specialists & Research Institute to inform healthcare providers and patients of advances in multidisciplinary cancer treatment. Editorial features are developed in harmony with our goals to optimize health, quality of life and clinical outcomes for cancer patients and their families. Our writers cover a wide variety of topics related to modern advances in medical and radiation oncology, clinical research, coping with cancer treatment side effects, profiles of FCS physicians and researchers, news of our drug development unit and the nonprofit FCS Foundation. © Copyright 2016 Florida Cancer Specialists & Research Institute Material provided in this publication is intended to be used as general information only and should not replace the advice of your physician. Always consult your physician for individual care. Publication developed by Consonant Custom Media, 1990 Main Street, Suite 750, Sarasota, FL 34236 (941) 309-5380
Feature
ImageConscious 33
Next-Generation Diagnostic Imaging at Florida Cancer Specialists Allows Physicians to Treat Patients with the Highest Level of Care in Their Communities. Levester Jones has a deeply personal reason to believe in the importance of accurate diagnostic imaging. Thanks to his insistence, his mother-in-law, Patricia, who was “like a second mother� to him, had a baseline PET scan after she was diagnosed with pancreatic cancer while living in Connecticut and given just six months to live. The information provided by the scan helped doctors at Florida Cancer Specialists (FCS) plan a course of Diagnostic imaging professionals at the FCS Gladiolus Office in Fort Myers (L-R): Dennie Matthew, Bruce Colgan, Betty Peterson and David Rojas.
continued on page 4
Image-Conscious
continued from page 3
treatment that extended her life by several years – years for which Jones and his wife, LaShawn, are very grateful. That’s why Jones, Director of Radiology for Florida Cancer Specialists, is so enthusiastic about this year’s expansion of the practice’s imaging services. Three new mobile units have been added, increasing the FCS mobile fleet to four. These are in addition to 14 fixed sites that offer imaging services. In all, this extensive network allows the practice, as Jones describes it, “the
In the past, patients would often have to travel hours to large academic centers to receive the latest imaging technologies. Now, it’s virtually around the corner. It allows patients living in rural areas to have a high level of diagnostic care without the burden of long, arduous travel. Being treated for cancer is stressful enough without the added inconvenience of having to get to a large institution. Also, patients can stay within the FCS healthcare system, where everything is standardized. For example, a
“If we see something suspicious, we can bump up the results to what we call a ‘stat read,’ which prompts a call to the ordering physician to inform them of the results, so he or she can determine how to proceed.” Levester Jones, CNMT, BS Director of Radiology, Florida Cancer Specialists
4
Florida Cancer Specialists CEO Brad Prechtl, physicians and other members of the FCS team celebrate the recent launch of three new mobile diagnostic imaging units. privilege of providing imaging services to patients from Naples to Leesburg.” The FCS footprint covers two-thirds of the state and stands as a testament to a continuing commitment to community-based care. Bringing cancer care to local communities equal to care found at large academic centers is one of the central tenants of FCS. The care begins with offering the most advanced and innovative technology and treatment available to patients in their hometowns, where they are near their referring doctors, their oncologists, and just as importantly, close to their families, friends and support systems.
patient who lives in Tampa but is in Orlando on vacation can conveniently be tested at the Orlando office with confidence, knowing information will be shared with their treating FCS office.
Innovative Technology Means Better Outcomes
The early detection of cancer, properly staging it (determining whether it has spread), planning effective therapies for it, and then monitoring it are all dependent on the quality of the imaging the PET/CT scans provide, making this next generation technology so crucial to better treatment and outcomes.
Patients referred to FCS have an initial PET scan to establish a baseline for assessment of their condition. Further scans are done during treatment to determine how a patient is responding. If the growth is not metastasizing, treatment continues. If it is, advanced imaging will help doctors establish new protocols for alternative therapies. As David Wenk, MD, an oncologist at the FCS New Port Richey office, says, “Having imaging is vital to fol-
LECANTO
The three new mobile units use Siemens powerful molecular, 20-slice mCT 20 technology. FCS has also been upgrading the PET/CT scanners at the two fixed sites where the breakthrough Siemens Horizon technology is stationed. The table will support up to 500 lbs. for bariatric imaging. FCS has the first mCT (Big Bore) mobile PET CT in Southeast USA. In addition to the all-important resolution quality of the images, these scanners have large bores, making them much more comfortable for patients who are claustrophobic. A bigger bore allows for more flexibility when positioning patients who are already undergoing radiation. In addition, patients are exposed to less radiation thanks to shorter throughput times.
GAINESVILLE
Fixed Radiology Sites
lowing cancer patients. You don’t know how a given therapy is working until you see what’s going on in the body. The PET/CT technology not only allows us to assess but also to better treat the patient.”
The standardized clinical outcomes provided by superior image quality and accuracy allow FCS oncologists to spot lesions earlier and to begin staging of the disease and therapy sooner.
LEESBURG
Brandon Cancer Center Brooksville Office BROOKSVILLE Gainesville Cancer Center CLEARWATER LARGO Gladiolus Cancer Center TAMPA (Ft. Myers) BRANDON Good Samaritan Flagler (West Palm Beach) SARASOTA Highlands Office (Largo) VENICE Lecanto Office Leesburg Office Mease Office (Clearwater) Naples-Goodlette Office Palm Beach Gardens (West Palm Beach) Sarasota Downtown Office Tampa Cancer Center Venice Island Office
Staying Focused on Patients
One of the most significant advantages of FCS owning and operating the equipment, according to Jones, is that a patient who may need a test today but doesn’t have an appointment until next week can be accommodated by the diagnostic team of 55 he oversees. “We do everything we can to accommodate our patients, whether it means coming in early or staying late,” he says.
FT. MYERS-GLADIOLUS
WEST PALM BEACH
continued on page 12
NAPLES-GOODLETTE
Mobile Radiology “Sites”
M T W Th F
u
Leesburg Sebring Cape Coral Cape Coral Lake Mary Williston
v
Bradenton West Bradenton West Bradenton West Port Charlotte Port Charlotte
w
Brooksville Brooksville Brooksville Brooksville St. Petersburg
x
Hudson New Port Richey New Port Richey Leesburg New Port Richey
5
5 Ques+ions with Dr. Hugo Davila The grandson and son of physicians, Dr. Hugo Davila remembers listening to his family talk about patients all day long. As a boy in Caracas, Venezuela, he would go to the hospital with his father and wait for him to finish rounds. So, being in a hospital was something normal since early in his life. “My dad was very active in academia and often traveled to the states for urology meetings. Later, when I became interested in medicine and urology, I started joining him on these trips. I was amazed by the technology and quality of care, and so I made the decision to do all my training in the United States.”
6
After graduating from medical school in Caracas, Dr. Davila fulfilled that ambition as a Clinical Research Fellow at New York Presbyterian Hospital-Cornell University. He then worked as a Postgraduate Research Fellow at University of California Los Angeles Center for Health and Sciences, Department of Urology, and as a Research Fellow at the University of South Florida in the Sexual Medicine Program in the Department of Urology. Dr. Davila completed his internship and residency at the University of South Florida in General Surgery and Urology, where he also served as Chief Resident from 2009-2010. He is a Certified Diplomate of the American Board of Urology and a member of the American Urological Association (AUA). After three years practicing – and shivering – in Michigan, the doctor, his architect wife, Maria, and their two sons, Hugo Jr. and Samuel, returned to Florida and settled in Vero Beach. In 2016, he became the first urologist to join Florida Cancer Specialists.
1 2
What are your thoughts on joining FCS? A lot of physicians are facing the complexities of the healthcare system. Many older physicians are going to work for hospitals. Others, like me, want to remain in private practice, because we believe we can provide better care to our patients. FCS has helped more than 200 oncologists do that. For me, it’s very exciting to be part of such a great group, providing my patients with the best standard of care and technology that’s available.
What are your thoughts on communitybased care? That’s an excellent question. If you go back maybe 10 or 15 years, the practice of medicine was based on the experience of individual doctors. Now, we follow our scientific society’s guidelines. It shouldn’t matter where you go; the treatment should be the same, as long as your physician follows a standard of care based on the guidelines of the American Urology Association and the National Cancer Network. I think you’ll find the same care here you find in academic hospitals, such as access to the same clinical trials. That’s very exciting, especially since FCS enables us to bring clinical trials to our local communities.
Hugo Davila, MD Hometown: Caracas, Venezuela Medical School: Universidad Central de Venezuela School of Medicine Internship & Residency: University of South Florida, General Surgery and Urology; also served as Chief Resident from 2009-2010 Fellowship: Postgraduate Research Fellowships at New York Presbyterian Hospital-Cornell University and University of California Los Angeles Center for Health and Sciences, Department of Urology Board Certification: Certified Diplomate of the American Board of Urology; member of American Urological Association Languages Spoken: English, Spanish
3 4
What made you choose urology? I think urology is a great specialty. We have a lot of technology in the OR (operating room). We perform laser surgery, endoscopic surgery and laparoscopic procedures, and use technology like high-frequency ultrasound. Urology is one of the first disciplines to use these new advancements, so even after 25 years, I’m still challenging myself and my skills and knowledge and helping my patients.
Do you have a particular area of interest? My chief interests are kidney and prostate cancer. We perform robotic surgery for kidney cancer, having done about 200 laparoscopic surgeries in the last five years with excellent results. Using the robot with the latest equipment and instruments allows me to complete the surgery through a 2.5-centimeter incision. And last but not least, endourology is a field that has evolved in the past few years allowing us to treat patients with kidney or bladder stones, and we conduct endoscopic procedures without scars, with patients going home on the same day.
5
Do you only see cancer patients? No. About 50 percent of my practice is noncancer related, treating urinary tract infections, bladder problems, kidney infections, kidney stones, incontinence, prostate. So, there are many types of patients I see other than cancer.
Women make up about 40 percent of your practice. What concerns do they have and how do you approach them? The most common concerns women I see have are bladder related. There are urinary tract infections and problems with frequency. They may have some leakage when they cough, laugh or sneeze. Besides that, they may have some vaginal pressure or be part of that patient population that develops prolapse as they get older. +
77
Seeking the Cure for Escalating Cancer Costs Value-based care is changing the paradigm from “sick care” to “health care.”
8
Increases in the cost of traditional fee-for-service medical care have become unsustainable. Medicare, Medicaid and commercial carriers have seen the cost of cancer care rising 15 to 20 percent a year, while the economy is growing at less than 3 percent. It’s had a chilling effect on employers who are reluctant to make new hires, while individuals see their co-pays and deductibles steadily increase.
Sarah Cevallos Chief Revenue Cycle Officer
Todd Schonherz Chief Operating Officer
“Everyone has been looking for a way to adjust that,” according to Florida Cancer Specialists (FCS) Chief Operating Officer Todd Schonherz. “But how do we bend that curve? That’s where the concept of valuebased care has come from.”
influencing that,” says Sarah Cevallos, FCS Chief Revenue Cycle Officer and the person responsible for contracting with insurers.
The idea behind value-based care is simple. Replace fee-for-service with a new model, one whose goal is, first and foremost, to improve the patient’s care and experience to achieve better outcomes, all while stemming the costs of care. In short, replace “sick care” with “health care.”
“We’re on the cutting edge of being paid for reducing the total cost of care while achieving high quality standards. Few oncology practices in Florida are prepared to enter into this kind of program. But this is a very front-of-the-line, innovative model from CMMI, and we’re excited to be part of it.”
The Comprehensive Care Program
“We’re on the cutting edge of being paid for outcomes. Few oncology practices in Florida are prepared to enter into this kind of program. But this is a very front-of-theline, innovative model from CMMI, and we’re excited to be part of it.” Sarah Cevallos, Chief Revenue Cycle Officer Florida Cancer Specialists
“About two years ago, we recognized the need to pivot our business and become part of a cost-of-care solution by being a value-based provider,” Schonherz explains. “We began planning and implemented our first value-based partnership with an insurer in the summer of 2015.” Other insurers followed, and then in 2016, FCS was one of a few oncology practices around the country chosen by the Center for Medicare and Medicaid Innovation (CMMI) to participate in the Oncology Care Model, a pilot program for Medicare. And while different, both Medicare and private insurers have strict, patient-centric criteria for payment. “FCS is collaborating with insurance companies to define what value-based care is and to determine what brings value to the marketplace. We have a seat at the table, which very much helps us have a say in
“I think the most important thing we’ve done is the introduction of our Comprehensive Care Management Program. It’s designed to keep patients healthy between their office visits by providing proactive outreach programs, such as education and triage.” Central to this is the role of the Care Manager. FCS has added more than 40 nurses and support staff to provide centralized care coordination and management services. These Care Managers are available 24/7 to patients between visits, focusing on what happens when they leave the office. The plan takes a multi-pronged approach that will mean, as Cevallos describes it, “white glove treatment” for patients. “People should understand that, while the technical measures don’t directly talk about survival, they tie into survival, they tie into how to deal with cancer, and in a way, are a plan for survivorship.” “Of course, we want to make sure we continue to provide the highest quality, integrated care to our patients, which mean our physicians are adhering to National Comprehensive Cancer Network [NCCN] guidelines,” Schonherz adds. Referring physicians can be assured their patients are receiving a higher standard of care, one with an emphasis on survivorship. It’s also helping to develop relationships with referring physicians by opening the dialogue, for example, on how we can get rid of duplicate tests and better integrate our systems to lower costs. continued on page 12
9
People + Places FCS Brooksville Center Welcomes Dr. Barakat and Introduces “Next Generation” PET/CT Technology to Hernando County
Florida Cancer Specialists Brooksville Center welcomed its newest physician, Dr. Ayman Barakat. At a recent open house, the Center also introduced the community to a new PET/CT scanner that represents a major investment in state-of-the-art technology that is benefiting local cancer patients. The Siemens mCT20 enables Florida Cancer Specialists to perform scans faster, with fewer artifacts created by a patient’s movement or breathing. Satisfying new health law requirements, this new technology allows technicians to control and record the amount of radiation that each patient receives, and it allows physicians to track and monitor the amount of radiation received by a patient across all of his or her medical treatments. Dr. Barakat sees patients at two FCS Centers in Hernando County: The Brooksville office, at 7154 Medical Center Drive, Spring Hill, and the County Line Road office, at 11063 County Line Road, Spring Hill.
New FCS Gainesville Cancer Center Delivers Comprehensive Care in Community Setting
10
Florida Cancer Specialists & Research Institute celebrated the June opening of a new location, the Gainesville Cancer Center at 6420 West Newberry Road. More than double the size of the previous FCS office, this new comprehensive cancer facility is an expansion of The Cancer Center at North Florida Regional Healthcare (NFRH). It brings medical oncology services under the same roof as radiation oncology and ancillary services, such as patient navigation, acupuncture and support groups. FCS Executive Board Member and Medical Director of Informatics Dr. Lucio Gordan said, “This new facility increases our ability to offer unique, state-of-the-art, multidisciplinary oncology treatments in a more comfortable and convenient setting, so we can deliver personalized cancer therapies and provide renewed hope in more than 7,000 patient visits each month. Coupled with our clinical trials program, offered through a strategic partnership with Sarah Cannon,
this approach allows us to bring the most advanced cancer treatments to our patients.” Dr. William Harwin, FCS Founder & President, said, “The healthcare industry is placing more emphasis on a patient-centric delivery model that includes higher quality and better located facilities. In conjunction with our partners at North Florida Radiation Oncology [NFRO] and The Cancer Center at North Florida Regional Healthcare, we can now offer patients the utmost in functional, modern space and cutting-edge technologies.” The new center was designed with the input of cancer patients from FCS and NFRO. It utilizes evidence-based design to achieve functional and aesthetic outcomes that increase operational efficiencies for providers and create environments that enhance patient experiences and reduce stress.
FCS Foundation Update +
Celebrating Their Heroes Established in 2011, the mission of the nonprofit Florida Cancer Specialists Foundation is to help qualifying cancer patients meet the “here and now” financial obligations, such as rent or mortgage payments, car payments or utilities. The Foundation provides grants of $1,500 to qualifying patients, whether they are patients of FCS or not. See below for eligibility guidelines.
Eligibility
To qualify for a grant, a patient must: • Be 18 years of age or older • Be a current resident of the state of Florida • Have an annual combined household income at or below 200% of the national poverty level • Be actively receiving cancer treatment in Florida
How to Apply
• Applications are available on the Foundation’s website at Foundation.FLCancer.com • FCS Financial Counselors can help patients apply • Contact Client Services at 941-677-7181 • Email us at Foundation@FLCancer.com
Upcoming Events
Contact the Foundation for details and tickets. Visit Foundation.FLCancer.com. 1/28/17
Party Under the Stars Lakewood Ranch, FL
3/25/17
Crawfish Boil Tampa, FL
4/23/17
Polo Brunch Wellington, FL
Oct. 2017 50 Shades of Pink Nov. 2017 Wine Women & Shoes Lake Mary, FL
When James and Barbara Blanton Needed Help, the Florida Cancer Specialists Foundation Was There. Now, the Blantons Are Paying It Forward.
James Blanton had been a delivery truck driver for 30 years when, in a five-month period from November 2013 to March 2014, he was diagnosed first with lupus and then with multiple myeloma. The diseases made it impossible to maintain his commercial driver’s license. James had been insured through his wife’s employer, but when Barbara’s physical problems meant she was also unable to work, the family lost their healthcare insurance – just months before his primary care physician, Dr. Elizabeth Biggers, diagnosed his lupus and cancer. The Blantons found themselves out of work when they most needed the income. Dr. Biggers recommended that James see Dr. Matthew A. Fink at the Florida Cancer Specialists (FCS) Medical Park office in New Tampa, close to his home. When he called, he told the receptionist he had no insurance and was having trouble paying his living expense bills. She recommended that James contact the FCS Financial Counselor as well as the FCS Foundation for help. He took her advice. “Maria Bosque, a financial counselor with FCS, was at Dr. Fink’s office to take us through the FCS Foundation paperwork. She assured us the Foundation would help, immediately making a stressful situation less so,” James says. “That promise was kept.” The Financial Counselors onsite discuss coverage and patient assistance programs, in addition to various types of support for medical and living expenses. For patients like James who qualify, the FCS Foundation continued on page 12
11
Image-Conscious
continued from page 5
Celebrating Their Heroes continued from page 11
“It’s standard practice for us to get a report back to the doctor within 24 to 48 hours,” he explains. “And if we see something on a scan that looks suspicious, our technologists know not to let that patient go before conferring with a radiologist who is nearby.”
offers valuable financial assistance to pay living expenses, such as rent, mortgage or car payments, for patients undergoing active treatment for cancer. Patients decide how they want to use the funds and submit their bills to the Foundation, which makes the payments for them.
Jones continues, “If we see something suspicious, we can bump up the results to what we call a ‘stat read,’ which prompts a call to the ordering physician to inform them of the results, so he or she can determine how to proceed.”
“We couldn’t have done it without them,” James says in acknowledging the care and compassion the Foundation and folks like financial counselor Kimberly Clinton, who also worked with the Blantons, have shown him and Barbara throughout his treatment.
“Ultimately,” Jones says, “the image quality this next generation technology provides allows us to give our physicians the information they need to treat our patients at the highest level of care.”
“When you need to concentrate on getting well, you have to stay upbeat. That’s a must. If that’s impeded by bills for the basics, it will do you in. The Foundation helped me to function without the stress that can shut you down.”
And that translates to better outcomes for people like Levester Jones’ mother-in-law, Patricia. +
Seeking the Cure for Escalating Cancer Costs continued from page 9
Emphasizing the quality measures that FCS reports to insurers, and FCS is being held accountable for them, will ultimately not only improve the patient experience 12 with their cancer treatment but also aid in addressing co-morbidities, such as diabetes, with partner physicians. “We’re forming relationships with urgent care centers where a patient can be treated right away that are not as expensive as emergency departments. If we have these relationships throughout our local communities, then we can help drive these costs down for both the patient and the system,” Cevallos adds.
Now with his lupus and cancer in remission, James is eager to thank the Foundation by letting people know about the work they’re doing. Attendees at last year’s FCS Foundation fundraiser, 50 Shades of Pink, got to hear the Blantons’ story, a story that put a very human face on the Foundation’s work. The Blantons also appear on billboards from Tampa to St. Petersburg and will soon be appearing in some television spots, encouraging people to donate and help the Foundation continue its critical work to help others in need. “All the public appearances are my way of trying to repay my heroes – the people from the Foundation and the donors who made my journey possible.” +
Schonherz picks up on the theme. “What’s different about our program, as opposed to a lot of what’s out there, is that we’ve made significant internal investments. We’re all on one single technology platform – our lab, our pharmacy, our clinical offices – to ensure that we’ve got a full view of what’s going on with the patient.” Schonherz is optimistic about the future. “I see this continuing to grow as the number of insurance companies engaged in looking for an answer increases. I think value-based care is going to become the new normal for us.” + -
Florida Cancer Specialists & Research Institute (FCS), founded in 1984, is the largest independent medical oncology/hematology practice in the United States, with nearly 100 locations. FCS delivers world-class cancer care in community-based settings, providing innovative clinical research and cutting-edge technologies that help advance targeted treatments and geneticallybased immunotherapies. FCS serves patients on the Gulf coast from Naples to Tallahassee, in central Florida communities, and on the east coast from Palm Coast to Palm Beach County. For a listing of locations, helpful information about your first visit, and other patient resources, visit FLCancer.com