Free follow-up for colon cancer screening can save lives, study finds

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In 2023, a significant change occurred for Americans over 45 years old. Now, if a simple stool test hints at possible colorectal cancer, they can get a follow-up colonoscopy without paying anything.

This new benefit, covered by Medicare and private insurance due to a legal requirement, is designed to motivate more people to start colorectal cancer screening.

It targets the cost hurdle, often discouraging people from taking essential health steps.

Previously, a lot of people weren’t getting screened for colorectal cancer, even though the initial tests have been free for over ten years.

Worse still, about half of those who did take a stool test and received worrying results didn’t follow up with a colonoscopy. This gap in the screening process was wider among low-income individuals and people of color.

Studies Show Benefits Beyond Health

Recent studies, led by Dr. A. Mark Fendrick from the University of Michigan, reveal that this new benefit has the potential to save lives through early cancer detection and could also lead to financial savings for individuals and insurers.

If more people take the initial screening and the necessary follow-up, the savings could be substantial, even with a modest increase in screenings and follow-ups.

The studies, which highlight the need for further investment in patient support services, were published in Cancer Research Communications and Population Health Management.

These findings suggest that boosting support services, such as patient education and transportation, can be crucial. It’s not just about the screenings but also about ensuring people can access them and complete the process.

The studies advocate for addressing issues like education, transportation, and work leave for medical appointments to ensure that everyone needing a follow-up colonoscopy can get one without unnecessary difficulties or delays.

The bottom line is that removing cost as a barrier to follow-up colonoscopies can lead to better health outcomes and potentially save thousands of dollars in medical expenses by catching and treating cancer early.

This move could significantly impact public health and the economy by preventing advanced cancer cases and reducing the need for expensive treatments.

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