Managed Healthcare Executive July 13, 2021
Home-based testing could be a less expensive way to improve preventive care.
The number of patients under age 50 diagnosed with colorectal cancer (CRC) is rising. In 2020, 17,930 (12%) of the 147,950 individuals newly diagnosed with CRC in the United States were younger than 50 year.
For this and other reasons, the American Cancer Society now recommends starting CRC screening at age 45. Yet many health plans — mine included — still do not cover screenings for colorectal cancer until 50.
Mounting evidence suggests that the decision among payers to cover diagnostic/screening services is primarily math-based. On one side of the equation, it’s understandable. The business case for paying up to $1,150 per person to screen individuals in their...