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Eliminating cost-sharing requirements for colon cancer screening in Medicare
David H Howard1, Gery P Guy, Donatus U Ekwueme
1Department of Health Policy and Management, Rollins School of Public Health and Winship Cancer Center, Emory University, Atlanta, Georgia.
Abstract:
Medicare beneficiaries do not have to pay for screening colonoscopies but must pay coinsurance if a polyp is removed via polypectomy. Likewise, beneficiaries do not have to pay for fecal occult blood tests but are liable for cost-sharing for diagnostic colonoscopies after a positive test. Legislative and regulatory requirements related to colorectal cancer screening are described, and on the basis of Medicare claims, it is estimated that Medicare spending would increase by $48 million annually if Medicare were to waive cost-sharing requirements for these services. The economic impact on Medicare if beneficiaries were not responsible for any cost-sharing requirements related to colorectal cancer screening services is described.
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