Member Adherence to a Health Insurer-Sponsored Gap Closure Program Using Multi-Target Stool DNA Test for Colorectal Cancer Screening
Objectives: To describe member adherence to a mail-based, health insurer-sponsored gap closure program for colorectal cancer (CRC) screening using multi-target stool DNA (mt-sDNA; Cologuard ® ) tests. Methods: Combined patient data from Exact Sciences Laboratories LLC and data from mass-mailed mt-sD...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-12-01
|
| Series: | Journal of Primary Care & Community Health |
| Online Access: | https://doi.org/10.1177/21501319241305958 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850246149538054144 |
|---|---|
| author | Mallik Greene Timo Pew Quang Le Alisdair Philp William K. Johnson A. Burak Ozbay John Kisiel Michael Dore Derek Ebner A. Mark Fendrick Paul Limburg |
| author_facet | Mallik Greene Timo Pew Quang Le Alisdair Philp William K. Johnson A. Burak Ozbay John Kisiel Michael Dore Derek Ebner A. Mark Fendrick Paul Limburg |
| author_sort | Mallik Greene |
| collection | DOAJ |
| description | Objectives: To describe member adherence to a mail-based, health insurer-sponsored gap closure program for colorectal cancer (CRC) screening using multi-target stool DNA (mt-sDNA; Cologuard ® ) tests. Methods: Combined patient data from Exact Sciences Laboratories LLC and data from mass-mailed mt-sDNA orders placed by a large Medicare Advantage Insurance Plan were analyzed (03/01/2023-06/30/2023). Adherence and time to test return were the primary and secondary outcomes, respectively. Their association with patient characteristics was evaluated using multivariable regression. Results: Among the 3201 member-patients included (86.6% aged 65-75 years; 58.7% female), adherence rate was 49.4%, and mean time to test return was 25.5 days. After multivariable adjustment, the odds of test return were significantly higher among 65- to 75-year-olds (odds ratio [OR] = 1.59 relative to 45- to 64-year-olds), those living in small towns (OR = 1.43 relative to metropolitan-located individuals), and with digital outreach via both SMS and email (OR = 4.31 relative to no digital outreach). Time to test return was shorter in 65- to 75-year-olds than in 45- to 64-year-olds and was not associated with other patient characteristics. Conclusions: Mass-mailed mt-sDNA tests for CRC screening were associated with an overall adherence rate of about 50% in this Medicare Advantage population, with higher likelihood of test return among patients receiving digital outreach. |
| format | Article |
| id | doaj-art-0ee1a9ee0a0745ae967079dd46c7c8d4 |
| institution | OA Journals |
| issn | 2150-1327 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Primary Care & Community Health |
| spelling | doaj-art-0ee1a9ee0a0745ae967079dd46c7c8d42025-08-20T01:59:16ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272024-12-011510.1177/21501319241305958Member Adherence to a Health Insurer-Sponsored Gap Closure Program Using Multi-Target Stool DNA Test for Colorectal Cancer ScreeningMallik Greene0Timo Pew1Quang Le2Alisdair Philp3William K. Johnson4A. Burak Ozbay5John Kisiel6Michael Dore7Derek Ebner8A. Mark Fendrick9Paul Limburg10Exact Sciences Corporation, Madison, WI, USAExact Sciences Corporation, Madison, WI, USAExact Sciences Corporation, Madison, WI, USAExact Sciences Corporation, Madison, WI, USAExact Sciences Corporation, Madison, WI, USAExact Sciences Corporation, Madison, WI, USAMayo Clinic, Rochester, MN, USADuke University, Durham, NC, USAMayo Clinic, Rochester, MN, USAUniversity of Michigan, Ann Arbor, MI, USAExact Sciences Corporation, Madison, WI, USAObjectives: To describe member adherence to a mail-based, health insurer-sponsored gap closure program for colorectal cancer (CRC) screening using multi-target stool DNA (mt-sDNA; Cologuard ® ) tests. Methods: Combined patient data from Exact Sciences Laboratories LLC and data from mass-mailed mt-sDNA orders placed by a large Medicare Advantage Insurance Plan were analyzed (03/01/2023-06/30/2023). Adherence and time to test return were the primary and secondary outcomes, respectively. Their association with patient characteristics was evaluated using multivariable regression. Results: Among the 3201 member-patients included (86.6% aged 65-75 years; 58.7% female), adherence rate was 49.4%, and mean time to test return was 25.5 days. After multivariable adjustment, the odds of test return were significantly higher among 65- to 75-year-olds (odds ratio [OR] = 1.59 relative to 45- to 64-year-olds), those living in small towns (OR = 1.43 relative to metropolitan-located individuals), and with digital outreach via both SMS and email (OR = 4.31 relative to no digital outreach). Time to test return was shorter in 65- to 75-year-olds than in 45- to 64-year-olds and was not associated with other patient characteristics. Conclusions: Mass-mailed mt-sDNA tests for CRC screening were associated with an overall adherence rate of about 50% in this Medicare Advantage population, with higher likelihood of test return among patients receiving digital outreach.https://doi.org/10.1177/21501319241305958 |
| spellingShingle | Mallik Greene Timo Pew Quang Le Alisdair Philp William K. Johnson A. Burak Ozbay John Kisiel Michael Dore Derek Ebner A. Mark Fendrick Paul Limburg Member Adherence to a Health Insurer-Sponsored Gap Closure Program Using Multi-Target Stool DNA Test for Colorectal Cancer Screening Journal of Primary Care & Community Health |
| title | Member Adherence to a Health Insurer-Sponsored Gap Closure Program Using Multi-Target Stool DNA Test for Colorectal Cancer Screening |
| title_full | Member Adherence to a Health Insurer-Sponsored Gap Closure Program Using Multi-Target Stool DNA Test for Colorectal Cancer Screening |
| title_fullStr | Member Adherence to a Health Insurer-Sponsored Gap Closure Program Using Multi-Target Stool DNA Test for Colorectal Cancer Screening |
| title_full_unstemmed | Member Adherence to a Health Insurer-Sponsored Gap Closure Program Using Multi-Target Stool DNA Test for Colorectal Cancer Screening |
| title_short | Member Adherence to a Health Insurer-Sponsored Gap Closure Program Using Multi-Target Stool DNA Test for Colorectal Cancer Screening |
| title_sort | member adherence to a health insurer sponsored gap closure program using multi target stool dna test for colorectal cancer screening |
| url | https://doi.org/10.1177/21501319241305958 |
| work_keys_str_mv | AT mallikgreene memberadherencetoahealthinsurersponsoredgapclosureprogramusingmultitargetstooldnatestforcolorectalcancerscreening AT timopew memberadherencetoahealthinsurersponsoredgapclosureprogramusingmultitargetstooldnatestforcolorectalcancerscreening AT quangle memberadherencetoahealthinsurersponsoredgapclosureprogramusingmultitargetstooldnatestforcolorectalcancerscreening AT alisdairphilp memberadherencetoahealthinsurersponsoredgapclosureprogramusingmultitargetstooldnatestforcolorectalcancerscreening AT williamkjohnson memberadherencetoahealthinsurersponsoredgapclosureprogramusingmultitargetstooldnatestforcolorectalcancerscreening AT aburakozbay memberadherencetoahealthinsurersponsoredgapclosureprogramusingmultitargetstooldnatestforcolorectalcancerscreening AT johnkisiel memberadherencetoahealthinsurersponsoredgapclosureprogramusingmultitargetstooldnatestforcolorectalcancerscreening AT michaeldore memberadherencetoahealthinsurersponsoredgapclosureprogramusingmultitargetstooldnatestforcolorectalcancerscreening AT derekebner memberadherencetoahealthinsurersponsoredgapclosureprogramusingmultitargetstooldnatestforcolorectalcancerscreening AT amarkfendrick memberadherencetoahealthinsurersponsoredgapclosureprogramusingmultitargetstooldnatestforcolorectalcancerscreening AT paullimburg memberadherencetoahealthinsurersponsoredgapclosureprogramusingmultitargetstooldnatestforcolorectalcancerscreening |