Becker's Healthcare August 7, 2024
Francesca Mathewes

Two new studies suggest that free colonoscopies –– covered under CMS provisions set in 2023 –– not only save lives, but also money for both Medicare and private payers.

The study, published in Cancer Research Communications and Populations Health Management, found that the new benefit saved money for both Medicare and private insurers even though they’ll be paying more for people to receive both an initial screening and a follow-up colonoscopy if needed.

Medicare and private payers will save as much as $4,700 and $6,400 per patient who receives a free follow-up colonoscopy following positive screenings results, respectively. That’s accounting for the fact that each follow-up colonoscopy costs Medicare over $1,100 and private payers over $2,000.

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Topics: CMS, Govt Agencies, Insurance, Patient / Consumer, Payer, Provider, Survey / Study, Trends
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