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Cost inputs & insurance

Outreach & navigation costs

Outcomes of interest

Cost inputs & insurance

Provide the costs associated with routine and diagnostic procedures.

Screening Colonoscopy: Average cost of completing a routine colonoscopy, including any low-probability adverse outcomes such as perforation.

$

Diagnostic Colonoscopy Post Positive FIT Result:  The average clinical cost of diagnostic colonoscopy for individuals with positive FIT test.

$

Diagnostic Colonoscopy for Symptomatic Individuals: The average clinical cost of diagnostic colonoscopy for symptomatic individuals.

$

FIT: The average cost of processing FIT.

$

Insurance: Medicare

%

Insurance: Medicaid

%

Insurance: Private/commercial

%

Note: Medicare + Medicaid + Private/commercial must add up to exactly 100%.

We assume that the cost of colonoscopies for Medicaid enrollees are 95% of Medicare costs based on expert opinion. If you would like to alter this multiplier, do so here:

%

Note: This number must be 100% or less.

We assume that the cost of a colonoscopy for a privately-insured individual is $714 more based on prior research. If you would like to alter this number, so do here:

$

Below are the colonoscopy costs based on your insurance mix above and our assumptions about Medicare, Medicaid, and private insurance differences.

325.22

Screening colonoscopy

XXX

Diagnostic colonoscopy post positive FIT result

XXX

Diagnostic colonoscopy for symptomatic individuals

Outreach & Nav Costs

Provide the costs associated with outreach efforts and navigation support to increase screening adherence.

Outreach and navigation to support patients in completing a screening colonoscopy: Cost of outreach and other efforts to increase colonoscopy screening across in year 1

$

Average cost per FIT+ individual for outreach and navigation if diagnostic colonoscopy is completed ___% of the time: The average cost per FIT+ patient supported to the goal of completing a diagnostic colonoscopy. This cost includes any EBIs, staff support, data management, etc. to support navigating FIT+ individuals, recognizing that not all patients complete the diagnostic colonoscopy (completion probability below).

50% of diagnostic colonoscopies completed

$

70% of diagnostic colonoscopies completed

$

90% of diagnostic colonoscopies completed

$

Cost of efforts to increase the likelihood a patient will complete a FIT in a subsequent year (cost per patient eligible for FIT): Cost of outreach and other efforts to increase FIT screening across years 1-9, with cost estimated as a function of the percent of FITs completed over the remaining 9-year window.

6% probability a FIT is completed in each year:

$

26% probability a FIT is completed in each year:

$

56% probability a FIT is completed in each year:

$

100% probability a FIT is completed in each year:

$

Outcomes of interest

Select the time horizon and desired outcomes for the analysis.

Choose your time horizon:

Choose your desired outcome:

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Final results

Based on your inputs, the following tables display the projected outcomes for colorectal cancer screening interventions. These results illustrate the effectiveness and costs associated with various probabilities of FIT and diagnostic colonoscopy completion rates over your selected time horizon.

Want to tweak these results? Edit any previous inputs to update

Colorectal cancer cases averted

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50%

70%

90%

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6%

XXXXX

XXXXX

XXXXX

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26%

XXXXX

XXXXX

XXXXX

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56%

XXXXX

XXXXX

XXXXX

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100%

XXXXX

XXXXX

XXXXX

Cost per person

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50%

70%

90%

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6%

XXXXX

XXXXX

XXXXX

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26%

XXXXX

XXXXX

XXXXX

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56%

XXXXX

XXXXX

XXXXX

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100%

XXXXX

XXXXX

XXXXX

Cost per case averted

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50%

70%

90%

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6%

XXXXX

XXXXX

XXXXX

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26%

XXXXX

XXXXX

XXXXX

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56%

XXXXX

XXXXX

XXXXX

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100%

XXXXX

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XXXXX