Correction to: Financial navigation: Staff perspectives on patients’ financial burden of cancer care (Journal of Cancer Survivorship, (2023), 17, 5, (1461-1470), 10.1007/s11764-022-01175-2)

In the original article, there is text in Table 2 that is not lined-up. The revised Table 2 is given below. The original article has been revised. Communications about financial issues Theme Representative quote (cancer program type, RUCC) I’ve actually had several patients that get upset at the doctors when they first meet them for the consult never had said anything to them about the cost. A lot of patients want to know before they consent to treatment how much stuff is going to be? FSC_6 I don’t think the patients feel like it is the providers role. Actually, I mean, our pharmacy often picks up that piece. If it’s the medication, they end up talking with them about the financial concerns or applying for this or that or copays or what not. It seems to the pharmacy that might pick that up as the provider person that would talk about it, but I don’t hear from patients that they wish their provider would have talked about it. COC_RUCC_6 No, I don’t think from what I have talked to patients is that providers usually do not talk to them about financial stuff at all. They rarely even know what’s paying for the visit or what insurance they have. So when they have frustrations, it’s usually outside of the provider office and being referred someplace that maybe the clinic refers them someplace that doesn’t take their coverage or doesn’t have charity care. They have barriers to that care because nobody is identifying what their financial situation is. COC_RUCC_3 I would say that they’re not really talking about it. I think that our providers don’t talk about it. I think that they just send us in and say, “Figure it out with them.” I don’t think that they understand that we have limitations. It’s not like we can replace someone’s like full salary for six months, you know? We don’t have that. What does that look like? COC_RUCC_2 And I’ve got one provider that calls me and he’s like, “You know, this is the treatment plan that I’m thinking. Patient’s self-pay. I need you to get drug replacement so that I can get this patient on you know, this. “And it’s, like [laughs], “Okay”. But he is actually very aware of what the cost are, and that that’s gonna be an issue. And so, he’s kind of like the standard that you want your docs to be, because he does, he actually will call me and say, “This is my treatment plan. How can we make that happen”? COC_RUCC_3 Well, and a lot of people are not insurance savvy, and so, they think they’ve got Medicare so Medicare is gonna pay for everything. Not realizing with just straight Medicare, that there’s, like, no cap. So, it’s 80/20, but that 20 percent goes on forever and ever. Whereas, with commercial insurances or some of the HMOs, there’s actually an out of pocket maximum that you reach, and then you don’t have any more than that amount of money. And so, I mean, people have never heard of the word – you know, explanation of benefits, that’s just that annoying piece of paper that they get. And all of a sudden you’re asking them to pay attention to that, and to be aware of what that is, and deductibles, and out of pocket maximums, and all these words they’ve never really considered before. COC_RUCC_3 There’s a lot of patients that have never had to ask for help in their lives, that this affects, and all of a sudden they feel like they’re asking for welfare. I had a patient just crying when I was talking to him about, “You know, this is what I do, and not that you’re gonna need it, but this is what I do.” And he started crying and he was, like, “I’ve never had to ask for help before. I don’t understand how I’m gonna do this,” because he couldn’t work. I mean, radiation is every single day and sometimes for six weeks. And so, you know, it certainly cuts down on the paycheck. And when you’re living paycheck to paycheck successfully, something like this makes it almost impossible to maintain that. COC_RUCC_3 But we also in looking at things, when people are asked to disclose their financials, if we’re gonna try to get them help, a lot of them don’t wanna disclose it because you know, they’ve got the family farm that’s gonna be inherited for the children and they’re thinking about that and they really are afraid to discuss what assets they have. Because they don’t wanna lose that family farm. Some of them are to the point thinking, I’m sixty years old. I’ve lived a good life. I wanna leave everything to my children so I won’t do anything. I’m not going to even try to get help for this. It’s cheaper if I don’t. It’s tragic.