Disclaimer: The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
State-level cancer treatment costs
How much and who pays?
Article first published online: 4 APR 2013
Copyright © 2013 American Cancer Society
Volume 119, Issue 12, pages 2309–2316, 15 June 2013
How to Cite
Tangka, F. K., Trogdon, J. G., Ekwueme, D. U., Guy, G. P., Nwaise, I. and Orenstein, D. (2013), State-level cancer treatment costs. Cancer, 119: 2309–2316. doi: 10.1002/cncr.27992
- Issue published online: 4 JUN 2013
- Article first published online: 4 APR 2013
- Manuscript Accepted: 20 NOV 2012
- Manuscript Revised: 6 NOV 2012
- Manuscript Received: 11 SEP 2012
- cost of illness;
- state cancer cost;
- state cancer cost by payer
Cancer treatment accounts for approximately 5% of national health expenditures. However, no state-level estimates of cancer treatment costs have been published.
In analyses of data from the Medical Expenditure Panel Survey, the National Nursing Home Survey, the US Census Bureau, the Current Population Survey, and the Centers for Medicare & Medicaid Services, this study used regression modeling to estimate annual state-level cancer care costs during 2004 to 2008 for 4 categories of payers: all payers, Medicare, Medicaid, and private insurance.
State-level cancer care costs ranged from $227 million to $13.6 billion (median = $2.0 billion) in 2010 dollars. Medicare paid between 25.1% and 36.1% of these costs (median = 32.5%); private insurance paid between 36.0% and 49.6% (median = 43.3%); and Medicaid paid between 2.0% and 8.8% (median = 4.8%). Cancer treatment accounted for 3.8% to 8.7% of all state-level medical expenditures (median = 7.0%), 8.5% to 15.0% of state-level Medicare expenditures (median = 10.6%), 1.0% to 4.9% of state-level Medicaid expenditures (median = 2.2%), and 5.5% to 10.9% of state-level private insurance expenditures (median = 8.7%).
The costs of cancer treatment were substantial in all states and accounted for a sizable fraction of medical expenditures for all payers. The high cost of cancer treatment underscores the importance of preventing and controlling cancer as one approach to manage state-level medical costs. Cancer 2013;119:2309–2316. © 2013 American Cancer Society.