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Late-Stage Diagnosis and Cost of Colorectal Cancer Treatment in Two State Medicaid Programs
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2021
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Source: J Registry Manag. 48(1):20-27
Details:
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Alternative Title:J Registry Manag
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Personal Author:
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Description:Introduction:
To assess timing of Medicaid enrollment with late-stage colorectal cancer (CRC) diagnosis and estimate treatment costs by stage at diagnosis.
Methods:
We analyzed 2000–2009 California and Texas Medicaid data linked with cancer registry data. We assessed the association of Medicaid enrollment timing with late-stage colorectal cancer and estimated total and incremental 6-month treatment costs to Medicaid by stage using a noncancer comparison group matched on age group and sex.
Results:
Compared with Medicaid enrollment before diagnosis, enrolling after diagnosis was associated with late-stage diagnosis. Incremental per-person treatment costs were $31,063, $39,834, and $47,161 for localized, regional, and distant stage in California, respectively; and $28,701, $38,212, and $49,634 in Texas, respectively.
Discussion:
In California and Texas, Medicaid enrollment after CRC diagnosis was associated with later-stage disease and higher treatment costs. Facilitating timely and continuous Medicaid enrollment may lead to earlier stage at diagnosis, reduced costs, and improved outcomes.
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Keywords:
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Source:
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Pubmed ID:34170892
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Pubmed Central ID:PMC10846594
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Document Type:
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Funding:
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Volume:48
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Issue:1
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Main Document Checksum:
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Download URL:
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File Type:
[PDF-364.24 KB]
