Not having insurance reduces the chance that someone with colorectal cancer will live a year after their diagnosis.  Even when patients from 18 to 64 have other illnesses, their insurance status makes a difference in survival.

Risk of dying during that first year was 50 to 90 percent higher among the uninsured.  They were more likely to diagnosed at an advanced stage and live in poor neighborhoods.

Other illness (comorbidities) was lowest in privately insured patients and highest in patients under 65 on Medicare, who were likely to have Medicare because of a disability. Read the rest of this entry »

Farrah Fawcett died on Thursday, June 25, 2009 of anal cancer that had spread to her liver.  She was 62.  Anal cancer is much more rare than either colon or rectal cancer, affecting about 5,300 Americans in 2009. 710 will die from it.

In other headlines, the Caterpillar company works with Peoria hospitals and doctors to ensure quality colonoscopy for their employees and a Swiss laboratory will be the first to offer a blood screening test for colorectal cancer.

In research, MRI colonography is useful for patients who can’t have a full colonoscopy before surgery, screening colonoscopies are increasing for Medicare enrollees, and scientists have found factors in tumors that make nerves more sensitive to pain.

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Elderly people whose health care is covered by Medicare report fewer problems and higher satisfaction with their care than younger patients whose health insurance is provided by their employers. Although the older Medicare beneficiaries have lower incomes and poorer health than the employer-covered group, they reported less difficulty paying their bills, fewer problems finding medical care, and higher overall satisfaction with that care.

Information comes from an analysis of the Commonwealth Fund 2007 Biennial Health Insurance Survey, a nationally representative telephone survey of 3,501 adults age nineteen and older living in United States.   Even counting those who refused to participate and those who could not be reached by phone, the survey’s response rate was almost 50 percent. Read the rest of this entry »

The Centers for Medicare and Medicaid issued a final National Coverage Decision on May 12, 2009 denying Medicare payments for CT colonography (virtual colonoscopy) to screen for colorectal cancer.

Despite an overwhelming number of comments urging that CMS overturn their provisional determination not to cover the test, the agency remained unconvinced that there was sufficient evidence to conclude that CT colonography was appropriate to screen for colorectal cancer.

Almost 95 percent of 357 comments supported CT colonography screening, including comments from the American Cancer Society and C3:Colorectal Cancer Coalition.

Briefly,

The Centers for Medicare and Medicaid Services (CMS) concludes the following:

The evidence is inadequate to conclude that CT colonography is an appropriate colorectal cancer screening test under § 1861(pp)(1) of the Social Security Act.  CT colonography for colorectal cancer screening remains noncovered.

Senate Finance Committee Chair, Max Baucus (D-MT), has proposed a health care overhaul plan that would allow U.S. residents ages 55 to 64 to buy into the Medicare system. The provision calls for a higher monthly premium for beneficiaries younger than age 65, but would offer the same benefits. Baucus said the buy-in option would remain available until the government develops a more comprehensive plan to address health care reform. Read the rest of this entry »