The Medicare loophole: cost-sharing for screening colonoscopy
نویسندگان
چکیده
منابع مشابه
Eliminating cost-sharing requirements for colon cancer screening in Medicare.
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 ba...
متن کاملCost-effectiveness of colonoscopy in screening for colorectal cancer
Modelling A decision model based on a Markov process was used to model the total costs and effectiveness of the three screening strategies. The timeframe of each cycle was one year. The model referred to a hypothetical population of 100,000 persons aged 50 years. If the annual FOBT is negative, patients have to wait for the next annual test and if positive, patients are referred to colonoscopy....
متن کاملCost-effectiveness of colonoscopy in screening for colorectal cancer.
BACKGROUND Fecal occult blood testing, flexible sigmoidoscopy, and colonoscopy are used to screen patients for colorectal cancer. OBJECTIVE To compare the cost-effectiveness of fecal occult blood testing, flexible sigmoidoscopy, and colonoscopy. DESIGN The cost-effectiveness of the three screening strategies was compared by using computer models of a Markov process. In the model, a hypothet...
متن کاملEvolution of Medicaid Coverage of Medicare Cost Sharing
State Medicaid agencies are required to assist low-income Medicare beneficiaries to pay Medicare cost sharing, defined as premiums, deductibles, and coinsurance, as follows: all cost sharing for those below the Federal poverty level (FPL) and otherwise qualifying; Part B premiums for persons with incomes 100-120 percent of FPL; all or a portion Part B premiums for persons 120-175 percent of FPL...
متن کاملReforming beneficiary cost sharing to improve Medicare performance.
This paper explores options for reforming Medicare cost sharing in an effort to provide better financial protection for those beneficiaries with the greatest health care needs. Using data from the Health and Retirement Study (HRS) and the Medicare Current Beneficiary Survey (MCBS), we consider how unified annual deductibles, alternative coinsurance rates, and a limit on out-of-pocket spending w...
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ژورنال
عنوان ژورنال: Colorectal Cancer
سال: 2015
ISSN: 1758-194X,1758-1958
DOI: 10.2217/crc.15.26