Late-Stage Diagnosis and Cost of Colorectal Cancer Treatment in Two State Medicaid Programs

Details

• Alternative Title:
  J Registry Manag
• Personal Author:
  Hoover, Sonja ; Subramanian, Sujha ; Sabatino, Susan A. ; Khushalani, Jaya S. ; Tangka, Florence K. L.
• 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.
  
  
• Keywords:
  Cancer Colorectal Neoplasms Cost Humans Late-stage Diagnosis Medicaid Neoplasm Staging Registries Treatment United States
• Source:
  J Registry Manag. 48(1):20-27
• Pubmed ID:
  34170892
• Pubmed Central ID:
  PMC10846594
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  48
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:401ab3f33f92da434209d3e5f64d53f5f1e5b27baaf1816b4acc7a931a14d85c
• Download URL:
  https://stacks.cdc.gov/view/cdc/147748/cdc_147748_DS1.pdf
• File Type:
  [PDF - 364.24 KB ]