Coverage of Colonoscopy Under the Affordable Care Act’s Prevention Benefit

The Affordable Care Act (ACA) requires private health insurers to cover recommended preventive services such as colonoscopies without any patient cost-sharing. This 2012 report finds that confusion over whether colorectal cancer screenings are characterized as preventive care or treatment means patients sometimes receive unexpected bills for the procedure. The report examines cost-sharing practices for colorectal screenings through interviews with experts and officials in the medical and insurance industries.

This report was co-authored by The Kaiser Family Foundation, the American Cancer Society, and NCCRT.

Report on Savings to Medicare from Increased Colorectal Cancer Screening (2007)

This report describes potential savings to Medicare and pre-Medicare payers from increased colorectal cancer screening among 50-64 year olds.

The Lewin Group, in collaboration with the NCCRT, developed a cost model that explores how increased colorectal cancer screening among pre-Medicare eligible individuals (aged 50-64 years) could translate into Medicare savings realized through earlier detection and treatment, specifically polypectomy and treatment of early stage cancer. The study also looked at net costs to pre-Medicare payers.