In 2012, the California Public Employees' Retirement System (CalPERS) implemented a new pricing system for colonoscopies in order to make the procedure more affordable for patients and ease its burden on the state's health care system as a whole. A report featured in the most recent issue of JAMA Internal Medicine found that this program resulted in savings of up to $7 million for the state.
The new cost model, called reference pricing, essentially states that CalPERS will cover the full cost of colonoscopy for its patients if they agree to undergo the procedure at a lower-priced facility, such as an ambulatory surgery center rather than a hospital-based outpatient location.
The system is designed to counter the unpredictable, but generally rising cost of screening colonoscopies. By encouraging participation at lower-cost facilities, CalPERS can offer full coverage for colonoscopy at no additional cost or co-pay for the patient.
An important factor to note is that, although the colonoscopies are performed at lower-cost facilities, the results of the study showed no reduction in the safety of the procedures since the initiative began. This is significant, as patients selecting lower-cost centers require assurances that they are receiving high-quality care.
California's iniative represents an exciting step toward reducing the cost burden of colonoscopy within the health care landscape.
Other News From Around the Web
- A recent cross-sectional analysis from a study conducted at the RAND Corporation in Boston suggests that the costs may outweigh the benefits of anesthesia during colonoscopy.
- New research reveals that novel long non-coding RNA may have the capacity to slow colon cancer tumor growth.
- A recent epigenetic study out of China presents exciting data on a potential new treatment option for colon cancer.
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