Hoover S, Subramanian S, Sabatino SA, Khushalani JS, Tangka FKL.
Late-Stage Diagnosis and Cost of Colorectal Cancer Treatment in Two State Medicaid Programs.
J Registry Manag 2021;
48:20-27. [PMID:
34170892 PMCID:
PMC10846594]
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Abstract
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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