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OBJECTIVE 2: CTSU Reimbursement Process

The CTSU reimbursement process has been developed to facilitate payment to the investigators and institutions for their time and effort for enrolling and managing patients on CTSU trials.

Reimbursement procedures for Cooperative Group member sites and affiliate sites that are not Community Clinical Oncology Program (CCOP) members are highlighted below (see the next module for information on CCOP crediting).

In situations where an institution is a member of a Cooperative Group that is leading the trial, or for studies where previous Intergroup agreements are in place between the lead Group and the Group of which the institution is a member, enrollments will not be permitted through the CTSU and no reimbursements will take place through the CTSU. In other words, with rare exceptions, Lead Group members should enroll to their own Group studies via their own Group mechanisms, not via the CTSU.
For studies endorsed by the Cooperative Group receiving accrual credit, the patient enrollment will be reimbursed from the budget of the Group receiving credit, not from the CTSU. Studies endorsed by NCIC-CTG will have enrollments reimbursed from the CTSU budget.
For studies not endorsed by the Cooperative Group receiving accrual credit, the patient enrollment will be reimbursed from the CTSU budget. The payment will be made to the credited Group, who will then pass payment along to the enrolling institution.
CTSU reimburses each enrollment at around $2,000 per patient. (NOTE: This is the standard reimbursement amount, which is periodically reevaluated.)
If trial activities are being supported by additional funding in Group Studies (e.g., Pharmaceutical or Quality of Life), the additional compensation will be defined for each trial and distributed in the same manner as the reimbursement.
One accrual credit is awarded per patient registration through the CTSU.
The clinical site uses the CTSU Patient Enrollment Transmittal Form to designate the Group receiving the accrual credit.
The CTSU notifies the Cooperative Group receiving credit of each enrollment.
The Group named as receiving credit disperses the funds to the Investigator or institution based on standard procedures outlined in the specific contracts and current reimbursement rates.
U.S. Cooperative Group Sites/Members Located Outside the U.S. and Canada
CTSU participation by Cooperative Group member sites located outside the U.S. or Canada is limited to CTSU menu trials which have been endorsed by the sites' member group. Reimbursements will be made by the Group endorsing the trial.
Endorsed Study

Endorsement is the process by which a Cooperative Group provides scientific and financial support for a trial led by another group. This is done to encourage participation in the trial by the endorsing Group's member sites.

Endorsement of trials implies the following commitments or actions:

The Disease Committee Chair of the endorsing Group designates a committee member to serve as a study co-chair on a CTSU menu trial.
The designated co-chair's responsibilities are to participate in the analysis of the study results, review amendments, promote the study within their own Group, provide updates within the Group, and contribute reports.
The endorsing Group will be responsible for auditing patient cases credited to that Group upon enrollment.
The endorsing Group will be responsible for paying the per-patient reimbursement for all enrollments credited to that Group.
CTSU Independent Clinical Research Sites- CICRS
Investigators who are not associated with a Cooperative Group (CTSU Independent Clinical Research Sites -CICRS) are reimbursed for patient enrollments by a different mechanism.
The CICRS must qualify as a CTSU member.
A contract between the CICRS and the CTSU (Coalition) must be signed before the site can enroll patients through the CTSU.
The CTSU pays $2,000 per patient registration.
If the study requires activities that are being supported by additional funding, then the CTSU may be able to provide additional compensation. The specifics of this compensation are defined for each study.
The CTSU makes reimbursements directly to the site for all patients registered through the CTSU based on standard procedures and current reimbursement rates.
Accrual Credits
ACOSOG: will accept credits for enrollments on most solid tumors, but not for enrollments on hematologic tumor studies.
CALGB: will accept credits for enrollments on all diseases.
ECOG: will accept credits for enrollments on all diseases.
GOG:will accept credits only for enrollments on GYN cancer studies.
NCCTG: will not accept credits for hematologic, GYN, or GU cancer protocols.
NCIC: will accept credits for enrollments on all diseases.
NSABP: will accept credits for enrollments only on breast and colorectal cancer studies.
RTOG: will accept credits for enrollments on most solid tumors, but not on hematologic tumor studies.
SWOG: will accept credits for enrollments on all diseases.

 

Module Objectives
1
Identify the goals, benefits, and organization of the CTSU project
2
Explain the major features of the CTSU reimbursement process
3
State the treatment credit assignment process for the Community Clinical Oncology Program
4
Identify Regulatory Support System (RSS) procedures, required documentation, and a new submission procedure
5
Explain the availability of several web-based educational and promotional tools.

 

Graphic Highlighting CTSU Financial Incentives