As oncology innovation accelerates and costs rise, access is increasingly defined by a push and pull between payers and providers—two central gatekeepers shaping how therapies are accessed, delivered, and reimbursed. This paper introduces the “tug-of-war” dynamic, highlighting how both stakeholders are responding to shared clinical and economic pressures and setting the stage for evolving mechanisms of control across the oncology ecosystem.

Hayden_Oncology-Part1

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