About Carelon Pathways

Oncology Management Program for
Blue Cross® Blue Shield® of Michigan* and Blue Care Network

*Program applicable to members of select employer-funded health plans

Carelon Medical Benefits Management Cancer Treatment Pathways

Carelon Cancer Treatment Pathways are developed by Carelon oncologists and pharmacists in consultation with a panel of academic and community-based oncologists. Together they apply a rigorous process to evaluate regimens supported by national guidelines such as NCCN guidelines and oncology professional society practice guidelines, and by peer-reviewed, published data. Factors considered include:

  • Clinical benefit (efficacy).
  • Side-effects (toxicity) – especially those that lead to hospitalizations or impact quality of life.
  • Cost, when efficacy and toxicity are equal.

Standards of oncology care evolve rapidly. That’s why it’s important to know that the Carelon Pathways are updated through a systematic review of medical evidence at least quarterly, and more often when new data emerge or national guidelines change.

Program resources

Visit the resources page to access Pathways details, FAQs, and other resources to support your participation.

Carelon Cancer Treatment Pathways Worksheets

Our worksheets can help you gather the patient clinical information you’ll need to enter your order request in the Carelon provider portal.

Carelon Cancer Treatment Pathways Clinical Details

Clinical details for all Carelon Cancer Treatment Pathways