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Uninsured cancer patients receive less care

Uninsured cancer patients incurred health care costs that were little more than half of the costs of treating privately insured patients over a six-month period, and were admitted to hospitals and seen by physicians less frequently, according to a new study published today as a Health Affairs Web exclusive.

In a Commonwealth Fund-supported analysis of federal health spending data, Emory University scholars Kenneth E. Thorpe and David Howard estimated that 200,000 of the four million cancer patients undergoing treatment each year had no health insurance coverage.

While uninsured cancer patients receive far less health care than their insured counterparts do, the authors find that their out-of-pocket spending is nearly two and a half times that of privately insured patients.

In addition, the authors identify a disparity in health care coverage between Hispanics and cancer patients from all other ethnic groups. Twenty percent of Hispanic cancer patients under age sixty-five lacked health insurance coverage, while 10 percent of whites and 14 percent of blacks in the same age group lacked coverage.

Having health insurance coverage appeared to be the key to better treatment, however, as the authors identified no differences in health spending by race or ethnicity among those with coverage. But they documented a stark difference in spending between those with coverage and those without. Among their findings:

  • Uninsured cancer patients incurred $3,606 in health care costs in a six-month window studied by the authors, compared to $6,550 for privately insured patients
  • Among those under age sixty-five, uninsured patients incurred $4,806 in health care costs over six months, compared to $8,419 incurred by the privately insured patients
  • Uninsured patients under age 65 incurred just $1,454 in inpatient treatment costs over six months, compared to $5,643 incurred by privately insured patients
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Contact: Jon Gardner
jgardner@projecthope.org
301-656-7401
Health Affairs
9-Apr-2003


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