Colorectal Cancer Screening Project | 2023-Payer Perspective

Video Transcription

Video Summary

In this video, Dr. Josephine Young, the medical director for Primera Blue Cross, discusses the payer perspective on colon cancer screening. She emphasizes the importance of payers supporting care that improves patient outcomes while controlling costs and meeting regulatory requirements. Dr. Young highlights the Affordable Care Act's requirement for non-grandfathered health plans to cover preventive services, including colon cancer screening, without cost-sharing. However, coverage is limited to in-network providers. Dr. Young also discusses the challenges payers face, such as lack of patient trust and limited access to longitudinal member data. She explores opportunities for payers, including promoting health literacy, facilitating primary care provider relationships, and partnering with employers and healthcare systems. Dr. Young mentions a new approach of using at-home fit testing vendors to increase screening rates and follow-up procedures. She concludes by emphasizing the potential cost savings and improved outcomes that can be achieved through increased colon cancer screening.

Keywords

Dr. Josephine Young

payer perspective

colon cancer screening

Affordable Care Act

preventive services