ROSE B JOHNSON COLON CANCER AWARENESS FOUNDATION via Crowdrise
October 22, 2014
BENEFITING: ROSE B JOHNSON COLON CANCER AWARENESS FOUNDATION
EVENT DATE: Oct 25, 2014
Rose B Johnson Colon Cancer Awareness Foundation has implemented a project where indigents, Medicaid and uninsured patients who meet guidelines for screening or diagnostic colonoscopies are referred to a local medical provider for this procedure at a highly discounted rate. Under contract with a local medical provider (negotiations secured), the following would be provided:
o Instructions on preparation for the procedure, including prescriptions if needed
o Appointment scheduling for the procedure
o Coverage of the anesthesia, colonoscopy procedure and pathology.
Working in partnership with Fort Bend County Health and Human Services, the reduced bill created by the procedure would be paid in full thereby creating a zero balance for the patient.
The population of uninsured and underinsured individuals in Fort Bend County does not currently have access to low cost or no cost colonoscopies. The Federally Qualified Health Center (AccessHealth) can only provide Fecal Occult Blood (FOBT) testing and has no referral source for colonoscopies for those without insurance coverage or without means to pay.
The project will include education to the target population through Rose B Johnson Foundation about colorectal cancer, the importance and benefits of screening and the availability of the new project to make this available.
Goals and Relationship to Regional Goals:
The goal of this project is to provide evidence-based prevention for colon and rectal cancers in the uninsured and underinsured population of Fort Bend County. The expected outcomes include:
· prevention of colorectal cancers by the removal of precancerous polyps
· reduction in cost and increase in cures by early detection of colorectal cancer.
The populations targeted by this program currently have no available low cost or no cost option for screening or diagnostic colonoscopies. One challenge will be the education of the population that this service is now available to them and why it is important. A second major challenge will be if the percentage of the patients who are screened and are diagnosed with cancer is higher than anticipated. This will place a higher burden on the contracted entity than planned based on current population estimates of colorectal cancers. This causes an increased need in funding to find other local doctors and negotiate similar terms.
Reasons for selecting the project option:
Fort Bend County does not have a hospital district structure for indigent healthcare or for the uninsured and underinsured population of the County. The County participates in the state mandated Indigent Health Care Program which provides care for qualifying individuals whose income is below 22% of the Federal Poverty Level. With a population estimate of 606,000, there are more than 48,500 (8%) individuals living below the Federal Poverty Level and up to 115,140 uninsured at this time in the County. For these individuals, medical care is often beyond their economic reach. Cash payment options and even sliding scale fees take lower priority than housing payments and food. Expensive screening and diagnostic colonoscopies are beyond the reach of the majority of these individuals.
Data shows that the current incidence rate for Colon and Rectal cancer in Fort Bend County is 38.6 per 100,000 population, and the death rate is 15.5 per 100,000. Even without assuming that the incidence and death rate is higher in the uninsured and underinsured (therefore unscreened) population, these rates would result in 44 cases of colorectal cancer and 18 deaths due to this cancer in the uninsured population of Fort Bend County.
Did you know that over 90% of those diagnosed when the cancer is found at a local stage (confined to colon or rectum) survive more than five years.
90% of new cases and 95% of deaths from colon cancer occur in people 50 or older. While rates for colon cancer in adults 50 and older have been declining, incidence rates in adults younger than 50 years has been increasing.
Inform, educate and communicate with any person or persons seeking medical information regarding Colon Cancer, its treatments, prevention and procedures, and to raise money to assist those having financial difficulty to pay for the screenings.
We are determined to break the silence about this silent killer with the education and dissemination of pertinent information throughout the community.