Medical Care Burden of Cancer: System and Data Issues
This project, led by Dr. Mark Hornbrook (KPNW), will extend and complement the SEER-Medicare link by (1) estimating the incremental medical care cost of all cancers by cancer site, stage at diagnosis, patient demographics, and source of health insurance (FFS vs. HMO); (2) estimating costs of non-Medicare covered services; and (3) modeling the determinants of cancer costs across HMO and FFS systems, correcting for selection and omissions biases. The study team received an NCI supplement to estimate the costs of cancer care in the non-elderly population. Additionally, Dr. Hornbrook is leading the study team with a pilot study to estimate the cancer-related pharmacy costs among aged Medicare HMO beneficiaries that are not covered in FFS Medicare. A byproduct of this body of research will be the development of a reusable infrastructure that will enhance the CRN VDW for other uses, including efforts focused on the dissemination of pharmacotherapy among cancer patients over time.