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Cost of Breast Cancer Treatment in Medicaid

Implications for State Programs Providing Coverage for Low-Income Women

Datos Bibliográficos

ID9104979
AutoresSujha Subramanian (0000-0003-2415-9721, RTI International, autor de correspondencia), Justin G Trogdon (0000-0001-5484-7870, RTI International, autor de correspondencia), Justin Trogdon, Donatus U Ekwueme (0000-0001-5614-5928, Centers for Disease Control and Prevention), James G Gardner (Centers for Disease Control and Prevention), J Timothy Whitmire (NC Department of Health and Human Services), Chandrika Rao (0000-0002-5772-6772, NC Department of Health and Human Services)
Año2011
Volumen49
Número1
Páginas89-95
Fecha de publicación2011-01-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e3181f81c32
PMID21079524
OpenAlexW2072704685
IdiomaEN
Citas recibidas2
Referencias citadas13

BACKGROUND: To date, no study has reported on the cost of treating breast cancer among Medicaid beneficiaries younger than 65 years of age. This information is essential for assessing the funding required for treatment programs established by the Breast and Cervical Cancer Prevention and Treatment Act of 2000. OBJECTIVE: This study assesses the incremental cost of breast cancer treatment among Medicaid beneficiaries aged below 65 years. RESEARCH DESIGN: Administrative data from the North Carolina Medicaid program linked with cancer registry data were analyzed to derive monthly Medicaid costs for cancer patients and the incremental costs of breast cancer treatment at 6, 12, and 24 months from diagnosis. We compared 848 beneficiaries diagnosed with cancer during the years 2002 to 2004 with 1696 comparison cases matched on age. RESULTS: With the exception of in situ cancers, the cost of cancer care continued to increase beyond the initial 6-month period. The incremental costs at 6 months after diagnosis are $14,341, $24,002, and $34,469 for those with local, regional, and distant breast cancers, respectively; and these costs increased to $22,343, $41,005, and $117,033 at 24 months. CONCLUSIONS: The extended period of health care utilization, beyond the immediate 6-month period after diagnosis, indicates that Medicaid coverage may be required for many months after diagnosis to complete treatment. Continuous Medicaid coverage should be provided for an adequate time period to ensure that complete and comprehensive treatment is provided

Breast cancer · Cancer · Cancer registry · Cancer treatment · Family medicine · Health care · Medicaid · Demography · Economic and Financial Impacts of Cancer · Global Cancer Incidence and Screening · Internal Medicine · Medication Adherence and Compliance · Medicine

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Obras citantes distintas2
Citas por año0,18
Intervalo de citas2015 - 2015 (1)
Velocidad de citaciónhistorical
Altamente citadoNo
Tipos de citaNeutras: 2
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