Impact of chronic conditions on the cost of cancer care for medicaid beneficiaries

Sujha Subramanian, Florence K L Tangka, Susan A. Sabatino, David Howard, Lisa C. Richardson, Susan Haber, Michael Halpern, Sonja Hoover

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: No study has assessed the cost of treating adult Medicaid cancer patients with preexisting chronic conditions. This information is essential for understanding the cost of cancer care to the Medicaid program above that expended for other chronic conditions, given the increasing prevalence of chronic conditions among cancer patients. Research Design: We used administrative data from 3 state Medicaid programs' linked cancer registry data to estimate cost of care during the first 6 months following cancer diagnosis for beneficiaries with 4 preexisting chronic conditions: cardiac disease, respiratory diseases, diabetes, and mental health disorders. Our base cohort consisted of 6,212 Medicaid cancer patients aged 21 to 64 years (cancer diagnosed during 2001-2003) who were continuously enrolled in fee-for-service Medicaid for 6 months after diagnosis. A subset of these patients who did not die during the 6-month follow-up (n=4,628), were matched with 2 non-cancer patients each (n=8,536) to assess incremental cost of care. Results: The average cost of care for cancer patients with the chronic conditions studied was higher than for cancer patients without any of these conditions. The increase in cancer treatment cost associated with the chronic conditions ranged from $4,385 for cardiac disease to $11,009 for mental health disorders. Conclusions: Chronic conditions, especially the presence of multiple conditions, are associated with a higher cost of care among Medicaid cancer patients, and these increased costs should be reflected in projections of future Medicaid cancer care costs. The implementation of better care-management processes for cancer patients with preexisting chronic conditions may be one way to reduce these costs.

Original languageEnglish (US)
JournalMedicare and Medicaid Research Review
Volume2
Issue number4
DOIs
StatePublished - 2012
Externally publishedYes

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Medicaid
Costs and Cost Analysis
Neoplasms
Preexisting Condition Coverage
Mental Disorders
Heart Diseases
Mental Health
Fee-for-Service Plans
Health Care Costs
Registries
Patient Care
Research Design

Keywords

  • Chronic disease
  • Healtchcare costs
  • Medicaid

ASJC Scopus subject areas

  • Health Policy

Cite this

Subramanian, S., Tangka, F. K. L., Sabatino, S. A., Howard, D., Richardson, L. C., Haber, S., ... Hoover, S. (2012). Impact of chronic conditions on the cost of cancer care for medicaid beneficiaries. Medicare and Medicaid Research Review, 2(4). https://doi.org/10.5600/mmrr.002.04.a07

Impact of chronic conditions on the cost of cancer care for medicaid beneficiaries. / Subramanian, Sujha; Tangka, Florence K L; Sabatino, Susan A.; Howard, David; Richardson, Lisa C.; Haber, Susan; Halpern, Michael; Hoover, Sonja.

In: Medicare and Medicaid Research Review, Vol. 2, No. 4, 2012.

Research output: Contribution to journalArticle

Subramanian, S, Tangka, FKL, Sabatino, SA, Howard, D, Richardson, LC, Haber, S, Halpern, M & Hoover, S 2012, 'Impact of chronic conditions on the cost of cancer care for medicaid beneficiaries', Medicare and Medicaid Research Review, vol. 2, no. 4. https://doi.org/10.5600/mmrr.002.04.a07
Subramanian, Sujha ; Tangka, Florence K L ; Sabatino, Susan A. ; Howard, David ; Richardson, Lisa C. ; Haber, Susan ; Halpern, Michael ; Hoover, Sonja. / Impact of chronic conditions on the cost of cancer care for medicaid beneficiaries. In: Medicare and Medicaid Research Review. 2012 ; Vol. 2, No. 4.
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abstract = "Background: No study has assessed the cost of treating adult Medicaid cancer patients with preexisting chronic conditions. This information is essential for understanding the cost of cancer care to the Medicaid program above that expended for other chronic conditions, given the increasing prevalence of chronic conditions among cancer patients. Research Design: We used administrative data from 3 state Medicaid programs' linked cancer registry data to estimate cost of care during the first 6 months following cancer diagnosis for beneficiaries with 4 preexisting chronic conditions: cardiac disease, respiratory diseases, diabetes, and mental health disorders. Our base cohort consisted of 6,212 Medicaid cancer patients aged 21 to 64 years (cancer diagnosed during 2001-2003) who were continuously enrolled in fee-for-service Medicaid for 6 months after diagnosis. A subset of these patients who did not die during the 6-month follow-up (n=4,628), were matched with 2 non-cancer patients each (n=8,536) to assess incremental cost of care. Results: The average cost of care for cancer patients with the chronic conditions studied was higher than for cancer patients without any of these conditions. The increase in cancer treatment cost associated with the chronic conditions ranged from $4,385 for cardiac disease to $11,009 for mental health disorders. Conclusions: Chronic conditions, especially the presence of multiple conditions, are associated with a higher cost of care among Medicaid cancer patients, and these increased costs should be reflected in projections of future Medicaid cancer care costs. The implementation of better care-management processes for cancer patients with preexisting chronic conditions may be one way to reduce these costs.",
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