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COOPE: A digital health system to facilitate financial navigation of out-of-pocket cancer costs

Award Number: R43CA254707
ORGANIZATION: NATIONAL CANCER INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/01/2020
PERIOD OF PERFORMANCE END DATE: 08/31/2022

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COOPE: A digital health system to facilitate financial navigation of out-of-pocket cancer costs - PROJECT SUMMARY Out-of-pocket (OOP) costs of cancer treatment are increasing as patients pay more of their health care costs in general, including higher insurance premiums and higher deductibles, co-insurance, and copayments. Cancer delivery has been described as a “system in crisis” as the financial burden of treatment costs affects nearly half of newly-diagnosed cancer patients. In this Phase I SBIR project, we will build and test Cancer Out-Of-Pocket Estimator (COOPE), a mobile/web system to assist with financial counseling for cancer patients initiating new cancer treatments. Following three specific aims, we will use a human-centered design (HCD) approach to develop a system for primary use by financial counselors working directly with patients. In Aim 1, we will conduct a requirements analysis with 20 potential system end users (financial counselors, cancer patients and their caregivers, oncologists, authorization representatives) to probe current perceptions of cancer cost discussions and the availability of estimated OOP cost data before initiation of patient treatment. In Aim 2, we will build a user-informed prototype of COOPE based on recommendations and specifications identified and outlined in Aim 1. The prototype will be reviewed by financial counselors and iterated to generate a version that will be used in subsequent field testing. In Aim 3, we will conduct a pilot study using mixed methods to study the use of COOPE in financial counseling at an urban, tertiary safety net hospital participating in the Oncology Care Model (OCM). We will examine usability and usefulness, usage patterns, perceived knowledge of cost information, patient satisfaction, accuracy of estimates, and financial distress. Measures of usability and usefulness (i.e., SEQ, UMUX-Lite) will be used to assess system acceptability and determine the potential of a Phase II project. Results of this Phase I SBIR project will go towards further development and validation of a pilot system to assess the effects of this system on financial planning and financial toxicity.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = -$10,719 )
2023	2020	DIMAGI INC	585 MASSACHUSETTS AVE	CAMBRIDGE	MA	02139	MIDDLESEX	USA	Cancer Cause and Prevention Research	000	1	7/26/2023	NEW	-$10,719
														Subtotal = -$10,719

Issue Date FY: 2020 ( Subtotal = $251,836 )
2020	2020	DIMAGI, INC.	585 MASSACHUSETTS AVE STE 3	CAMBRIDGE	MA	02139	MIDDLESEX	USA	Cancer Cause and Prevention Research	000	1	8/10/2020	NEW	$251,836
														Subtotal = $251,836

Grand Total All Awards = $241,117

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COOPE: A digital health system to facilitate financial navigation of out-of-pocket cancer costs

Award Number: R43CA254707

ORGANIZATION: NATIONAL CANCER INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/01/2020

PERIOD OF PERFORMANCE END DATE: 08/31/2022

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