The Breast and Cervical Cancer Prevention and Treatment Act (BCCPTA) in Georgia: Women Covered and Medicaid Costs in 2003

The Breast and Cervical Cancer Prevention and Treatment Act (BCCPTA) provided states with an optional Medicaid eligibility category for uninsured women with breast and/or cervical cancers. The BCCPTA is the first and only such effort to use a population-based public health screening program, the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) to provide a pathway to publicly funded health insurance for otherwise uninsured low-income women. Georgia was one of the first states to adopt the BCCPTA and was one of only twelve states that provided Medicaid eligibility to women screened by non-NBCCEDP providers. We use 2003 Georgia Medicaid claims and enrollment data to investigate the scope of the state’s BCCPTA enrollment and enrollees’ costs as well as demographic characteristics of breast and cervical cancer patients in Georgia’s BCCPTA and other Medicaid eligibility categories. Georgia’s Medicaid coverage of women with breast and/or cervical cancer under BCCPTA accounted for over one-third of all women with these cancers covered by the state in 2003 alone. Those newly eligible under BCCPTA were more likely to have breast, as opposed to cervical, cancer and to be older than those women with breast/cervical cancers enrolled in Georgia Medicaid due to low-income, pregnancy or disability status. Georgia’s Medicaid program spent over $29 million on BCCPTA enrollees in 2003 at a cost of over$12,000 per enrollee. BCCPTA enrollee costs were more similar to those for disabled women with these cancers, about $19,500, than to costs for low-income/pregnant women which equaled about$7,500. By expanding Medicaid coverage, BCCPTA can potentially bring women in at earlier stages of their cancer and provide needed coverage/treatment. Future research should examine the potential effect of BCCPTA on reduced morbidity and mortality among these low-income women

Projektbeschreibung für Förderansuchen: ViDeA - Visual Design for All

Ziel des Forschungsprojektes ist eine Erarbeitung von barrierefreien Beleuchtungslösungen in Wechselwirkung mit der Erkennung/Lesbarkeit von Kennzeichnungen, Markierungen und Beschilderungen, um die Mobilität von Personen mit Seheinschränkungen zu verbessern. Hierzu soll als Grundlage der Zusammenhang von Licht- und Kontrastbedarf sehbehinderter Menschen wissenschaftlich untersucht werden. Daraus resultierende Richtlinien sollen Planern und Architekten helfen Beleuchtung, Farbe und Materialkombinationen sowie geeignete Kontrastierungen bei neuen Projekten bzw. bei der Sanierung vorhandener Gebäude effizient und barrierefrei abstimmen zu können. Erweiterungen für bestehende Planungstools sollen entwickelt werden. Die Forschungserkenntnisse sollen die Grundlage zur Normung für barrierefreie Licht-, Farb- und Kontrastlösungen bilden.The goal of the project is the development of accessible lighting solutions and their interaction with the recognition/readability of signage, markings and labels to foster the mobility of sight restricted persons. For this the connection between light and contrast need of sight impaired persons will be scientifically investigated. The resulting guidelines shall enable planers and architects to design efficient and accessible lighting, colour and material combinations as well as appropriate contrasts within new projects and when restoring old buildings. Extensions for existing planning tools will be developed and the research findings will constitute the foundation for new standards on accessible lighting, colour and contrast solutions