Carelon Medical Benefits Management Cancer Treatment Pathways:
Reviewed by Oncologists

Pathways are developed using a rigorous process of evidence-based medicine. Cancer Treatment Pathways are selected from therapies recommended by national guidelines on the basis of:

  • Clinical benefit (efficacy)
  • Side-effects (toxicity), especially those that lead to hospitalizations or impact quality of life
  • Strength of national guideline recommendations
  • Cost (final consideration when efficacy, toxicity, and national guidelines are equal)


Standards of oncologic care evolve rapidly and keeping pace with change is vital to the health of your patients. That’s why it’s important to know that the Carelon Cancer Treatment Pathways identified in our Program are updated through a systematic review of medical evidence, at least quarterly, and more often when new treatments emerge or national guidelines change. Through the rigor of this process, an up-to-date source of Carelon Cancer Treatment Pathways is maintained.

Putting your patients first

We recognize that every patient is unique. While efforts have been made to identify Pathways that offer the best treatment option for most patients, the treating oncologist may decide that another treatment regimen is best for an individual patient.

Whether a Carelon Cancer Treatment Pathway or an alternate regimen is chosen, the Medical Oncology Program supports all regimens that meet the clinical review criteria under BCNC medical policies and clinical guidelines



Carelon Cancer Treatment Pathways worksheet

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