Looking back: a review of policy implications for exercise oncology

Author:

Kennedy Mary A1,Potiaumpai Melanie2ORCID,Maitin-Shepard Melissa3,Wilson Christopher M4,Campbell Anna5,Schwartz Anna L6,Gorzelitz Jessica7ORCID,Caru Maxime2ORCID,Grimmett Chloe8ORCID,Schmitz Kathryn H9

Affiliation:

1. Nutrition and Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University , Joondalup, WA, Australia

2. Milton S. Hershey College of Medicine, Public Health Sciences, Pennsylvania State University , Hershey, PA, USA

3. MMS Health Strategies, LLC , Alexandria, VA, USA

4. Physical Therapy Program, School of Health Sciences, Oakland University , Rochester, MI, USA

5. School of Applied Sciences, Edinburgh Napier University , Edinburgh, United Kingdom

6. College of Nursing, University of Nebraska Medical Center , Omaha, NE, USA

7. Department of Health and Human Physiology, University of Iowa , Iowa City, IA, USA

8. School of Health Sciences, University of Southampton , Southampton, United Kingdom

9. Division of Hematology and Oncology, University of Pittsburgh , Pittsburgh, PA, USA

Abstract

Abstract The evidence to support the benefits of exercise for people living with and beyond cancer is robust. Still, exercise oncology interventions in the United States are only eligible for coverage by third-party payers within the restrictions of cancer rehabilitation settings. Without expanded coverage, access will remain highly inequitable, tending toward the most well-resourced. This article describes the pathway to third-party coverage for 3 programs that address a chronic disease and utilize exercise professionals: the Diabetes Prevention Program, Supervised Exercise Training for Peripheral Artery Disease, and Cancer Rehabilitation. Lessons learned will be applied toward expanding third-party coverage for exercise oncology programming.

Funder

American Cancer Society

NIH

Publisher

Oxford University Press (OUP)

Subject

Cancer Research,Oncology

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