Kimberly RogersWyoming Department of HealthComprehensive Cancer Control

6101 Yellowstone Rd, Suite 259ACheyenne, WY 82002

Item Cost in 1967 Cost in 2007

Median Income $7,143 $46,242

New home $24,600 $229,000

Movie ticket $1.20 $6.58

New car $2,750 $28,200

Gas (per gallon) $0.33 $3.16

1st class stamp $0.05 $0.41

Gallon of milk $1.03 $3.20

Inflation Rate 2.8% 2.6%

National Cancer Act of 1971 "I will also ask for an appropriation of an extra

$100 million to launch an intensive campaign to find a cure for cancer, and I will ask later for whatever additional funds can effectively be used. The time has come in America when the same kind of concentrated effort that split the atom and took man to the moon should be turned toward conquering this dread disease. Let us make a total national commitment to achieve this goal." – Richard Nixon

1971 budget from $150 to $220 million.

• •Overall costs for cancer in the year 2000 was $180.2 billion:

• $60 billion for direct medical costs (total of all health expenditures); • $15 billion for indirect morbidity costs (cost of lost productivity due to illness); and • $105.2 billion for indirect mortality costs (cost of lost productivity due to premature death).

Cancer-related costs account for about 10 percent of the total amount spent on disease treatment in the United States. Cancer is a major national burden. National Institutes of Health, 2000

Year Cancer treatment spending (billions)

Total personal

health care spending (billions)

Percentage of cancer treatment spending

total

1963 $1.3 $29.4 4.4%

1972 $3.9 $78.0 5.0%

1980 $13.1 $217.0 6.0%

1985 $18.1 $376.4 4.8%

1990 $27.5 $609.4 4.5%

1995 $41.2 $879.3 4.7%

2004 $72.1 $1540.7 4.7%

Source: Cancer Trends Progress Report 2007 Update (National Cancer Institute)

Cancer Type 2005 Spending(in millions)

2006 Spending(in millions)

2007 Spending(in millions)

Lung $266.1 $242.9 $226.9

Prostate $309.0 $293.2 $296.1

Breast $560.1 $584.7 $572.4

Colorectal $253.1 $244.1 $258.4

Bladder $30.1 $24.4 $19.8

Non-HodgkinLymphoma

$107.0 $114.1 $113.0

Melanoma $102.9 $108.0 $97.7

Kidney $32.9 $33.0 $31.4

Leukemia $220.6 $223.5 $205.5

Uterine $31.1 $19.4 $16.6NCI Spending in FY 2005, 2006, and 2007 for the 10 most common types of cancer in the United States (excluding basal cell and squamous cell skin cancers). NCI Office of Budget & Finance

“Money was never a big

motivation for me, except as a way to keep

score. The real

excitement is playing the

game”

~Donald Trump

Evidence why your project makes solid financial sense to the agency/ organization;

Supports planning and decision-making, such as how much to invest in the project, what agency/entity can implement your project, and when to begin implementation; and

Maximizing the value created by the effort.

Show the need to continue Comprehensive Cancer Control Programs within our states, tribes, and territories; Reducing costs of treatment via early detection; Ensuring no duplication of services or efforts; Evidencing health outcomes tied to changes in

practice, policy and/or procedure. Evidence financial benefits to having CCC;

and Provide a need for additional legislation

and/or policy to support CCC efforts.

Year 1 Cost Benefit to the State of Wyoming:

Analysis of Patients Diagnosed with Pre-Cancer or Cancer of the Colon

(November 16, 2007- February 10, 2009)

Early Stage: Individual treatment costs for Colorectal Cancer is estimated at approximately $30,000 per patient

Late Stage: Individual treatment costs for Colorectal Cancer is estimated at approximately $120,000 per patient

Most uncompensated healthcare dollars are incurred by hospitals, where services are most costly. In 2001, hospitals accounted for over 60% of

uncompensated healthcare dollars! The primary source of funding for

uncompensated care is government dollars! In 2004, 85% of total uncompensated healthcare

costs were covered by government entities.

Kaiser Commission on Medicaid and the Uninsured, The Cost of Care for the Uninsured: What Do We Spend, Who Pays, and What Would Full

Coverage Add to Medical Spending?, Issue Update, 2004

Pathology Number of Diagnosis

Early Stage Dx(85% of $30,000)

Late Stage Dx(85% of $120,000)

Adenomas(pre-cancer)

110 $25,500x11= $280,500

$102,000x11= $1,122,000

Cancer(in-situ)

2 $25,500x2= $51,000

NA

Cancer(invasive)

5 NA $102,000x5= $510,000

Total Cost to Treat (range)

117 $331,500 $1,632,000

Potential cost to the State of Wyoming to TREAT cancers

Cost to screen these 117 patients was $228,150.

Developed a CCC Plan Budget; Engaged Policymakers in our cancer

control financial agenda; 2007 Wyoming Cancer Control Act (EA92)

Implemented our programs via the Wyoming Cancer Control Act;

Completed Cost Benefit Analysis; and In 2010 budget session, the analysis will

be expanded and shared with the 60th WSL.

Afternoon Sessions Resources and Budgeting roundtables by TOPIC

Maplewood A: Purpose and Uses for Developing a CCC Plan Budget- Funding your Plan!

Maplewood B: Engaging Policymakers in Your CCC Financial Agenda

Camellia: CCC Program Budget Development in Harsh Economic Times

Ravinia ABC: Cost Benefit to CCC: Are We Making A Difference?

Maplewood A: Kim Rogers/Room Monitor

Group 1 Group 2 Group 3

Washington Kansas Hawaii

Oregon Montana Nevada

Idaho Wyoming New Mexico

California Colorado American Samoa

Alaska Utah Commonwealth/Mariana Islands

Alaska Native Tribal Health Vanessa Calhoun (ACS) Guam

S. Puget Intertribal Planning Agency

Marshall Islands

NW Portland Indian Health Board

Palau

Asian Pacific Islander Health Forum

Micronesia

Oregon Health & Science University

National Alliance for Hispanic Health

Stacy Lofton/Garry Lowry Mary Boyd Susan White

Maplewood B: Peg Knight/Room Monitor

Group 1 Group 2 Group 3

Arizona DC Vermont

Oklahoma New York Maine

Texas New Jersey New Hampshire

Tohono O’dham Nation Delaware Massachusetts

Cherokee Nation Maryland Rhode Island

Boat People ENACCT Connecticut

Lance Armstrong Foundation

NCCS MMRF

Lymphoma Research Foundation

Vicki D’Alfonso/Jamila Fonseka Dana White Ann Larkin

Camellia: June Ryan/Room Monitor

Group 1 Group 2

North Dakota West Virginia

South Dakota Wisconsin

Nebraska Michigan

Minnesota Virginia

Missouri Indiana

Iowa American Psychiatry Association

Aberdeen Tribal Health Board Leukemia and Lymphoma Society

Fond Du Lac Reservation

NMDP

PAF

Ann Major/Angela Moore Annette Gardner

Ravinia ABC: Melody Robinson/Room Monitor

Group 1 Group 2

Tennessee Illinois

Louisiana Kentucky

Mississippi Ohio

Alabama Pennsylvania

South Carolina Georgia

Florida Super Sibs

North Carolina ACS

Arkansas

Puerto Rico

My Brother’s Keeper

Barbara Wethers/Susan Derrick Tina Gill

If you feel you’ve been misplaced in an inappropriate group, please feel free to move to a more appropriate group based on demographics and population. We tried to stick to CDC project offer assignments in relation to regions.

“Our best thoughts come from others….”

Kimberly RogersWyoming Department of HealthComprehensive Cancer Control

6101 Yellowstone Rd, Suite 259ACheyenne, WY 82002

(307) 777-8609Kimberly.Rogers@Health.Wyo.Gov