Where Cancer Care Plans Break Down

A $200 billion system, caring for a survivor population approaching 22 million, still runs its most time-critical steps on manual follow-up.

The Cost of an Unsolved Problem

$246B

projected annual U.S. cancer care spending by 2030, up from more than $200 billion today1

22M+

Americans expected to be living with a history of cancer by 2035, from 18.6 million in 20252

A meaningful share of that spending is not treatment. It is the downstream cost of coordination that failed — delayed care, avoidable complications, and hospitalizations that earlier intervention would have prevented.

A cancer patient with family

Planning Isn’t Execution

Even well-resourced health systems operate without a real-time answer to a basic question: is this patient’s care progressing as intended?

What’s missing isn’t more documentation, more point solutions, or more well-intentioned manual effort. It’s the ability to see whether care is executing as intended — before a gap becomes a missed step.

Physician on the phone while checking a laptop

Nurse Navigators Are Holding This Together by Hand

They are the people most often asked to close these gaps, and they do critical work. But caseloads have grown faster than the tools supporting them, and coordination still runs on manual workflows, disconnected systems, and informal follow-up.

There is still no standardized way to bring navigators into a shared, accountable view of a patient’s care team — particularly across the oncology–primary care boundary, where the gaps matter most.3

Nurse working at a computer workstation

This Is the Gap Coreo Was Built to Close

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References

  1. Panchal R, Brendle M, Ilham S, Kharat A, Schmutz HW, Huggar D, McBride A, Copher R, Au T, Willis C, Brixner D. The implementation of value-based frameworks, clinical care pathways, and alternative payment models for cancer care in the United States. J Manag Care Spec Pharm. 2023;29(7):1-10.
  2. Wagle NS, Nogueira L, et al. Cancer treatment and survivorship statistics, 2025. CA Cancer J Clin. 2025. See also: Fast Facts: Cancer Treatment and Survivorship, American Cancer Society (cancer.org).
  3. Ver Hoeve ES, Calhoun E, Hernandez M, et al. Evaluating implementation of a community-focused patient navigation intervention at an NCI-designated cancer center using RE-AIM. BMC Health Serv Res. 2024;24:550.