Transcript Average growth in per capita spending for cancer was slightly lower

Cancer mortality rates are slightly lower in the U.S. than in
comparable countries
Age-adjusted major causes of mortality per 100,000 population, in years, 2010
Comparable Country Average
United States
243
Diseases of the circulatory system
265
212
203
Cancers and tumors (Neoplasms)
63
Diseases of the respiratory system
82
43
External causes of mortality
60
29
Diseases of the nervous system
48
29
Mental and behavioral disorders
40
23
Endocrine, nutritional and metabolic diseases
34
0
50
100
150
200
250
Source: Kaiser Family Foundation analysis of 2013 OECD data: "OECD Health Data: Health status: Health status indicators", OECD
Health Statistics (database). doi: 10.1787/data-00540-en (Accessed on January 22, 2016). Note: Comparable countries are defined
as those with above median GDP and above median GDP per capita in at least one of the past ten years.
300
Lung cancer is the largest contributor to disease
burden among cancers for both males and females
MALES
Age standardized disability adjusted life years (DALYs) rate per
100,000 population, males in the U.S., 2013
Lung and related
FEMALES
Age standardized disability adjusted life years (DALYs) rate per
100,000 population, females in the U.S., 2013
980
Lung and related
Prostate
366
Breast
Colon and rectal
364
Colon and rectal
Pancreatic
220
639
517
249
Ovarian
164
Other neoplasms
183
Pancreatic
158
Leukemia
170
Other neoplasms
151
Non-Hodgkin lymphoma
167
Leukemia
Liver
145
Non-Hodgkin lymphoma
97
Brain and nervous system
143
Brain and nervous system
91
Esophageal
133
Cervical
86
-
400
800
1,200
102
-
Source: Institute for Health Metrics and Evaluation. Global Burden of Disease Study Data Downloads, available here:
http://ghdx.healthdata.org/global-burden-disease-study-2013-gbd-2013-data-downloads (Accessed May 11, 2016)
500
1,000
Cancer spending accounts for about 7% of disease-based
health expenditures
Total expenditures in US $ billions by disease category, 2012
Dermatological - $44
Pregnancy, birth - $39
Other $93
Infectious diseases - $67
Mental Illness - $80
Ill-defined
conditions - $247
Circulatory,
$243
Digestive - $107
Genitourinary - $113
Injury - $118
Musculoskeletal,
$188
Respiratory,
$158
Cancers - $124
Nervous
system - Endocrine $133
$138
Source: Bureau of Economic Analysis Health Care Satellite Account (Blended Account) and National Health Expenditure Data
Note: Spending on dental services, nursing homes, and prescriptions that cannot be allocated to a specific disease not included
above. Data last updated January 25, 2016.
While Cancer is one of the top contributors to disease burden, it was not a
leading driver of medical services spending growth from 2000-2012
Contribution to medical services expenditure growth, by disease, 2000-2012
Ill-defined conditions
16.6%
Musculoskeletal
11.0%
Circulatory
8.6%
Endocrine
8.5%
Nervous system
7.4%
Respiratory
6.5%
Cancer
6.3%
Other
6.2%
Genitourinary
5.9%
Injury and poisoning
5.3%
Digestive
5.1%
Infectious diseases
4.4%
Mental illness
4.1%
Dermatological
2.3%
Pregnancy/childbirth
1.7%
0%
2%
4%
6%
8%
10%
12%
14%
16%
Source: Kaiser Family Foundation analysis of Bureau of Economic Analysis Health Care Satellite Account (Blended Account)
Note: Expenditures on nursing home and dental care are not included in health services spending by disease. Data last updated
January 25, 2016.
18%
Average growth in per capita spending for cancer was
slightly lower than the average for all disease categories
Average annual growth in expenditures by disease category (per capita), price index by disease category (cost to treat each case), and real
expenditures by disease category (number of treated cases), 2000 - 2012
Cancer
6.0%
All diseases
5.4%
5.0%
5.0%
4.6%
4.4%
4.0%
3.0%
1.9%
2.0%
1.3%
1.0%
0.0%
Spending per capita
Cost to treat each case
Number of treated cases
Source: Kaiser Family Foundation analysis of Bureau of Economic Analysis Health Care Satellite Account (Blended Account)
Note: Expenditures on nursing home and dental care are not included in health services spending by disease. Data last updated January 25,
2016.
Cancer medications were among the top 3 conditions for
specialty drug spending in 2015
Express Scripts per-member-per-year spending, top 10 specialty therapy class drugs, 2015
Inflammatory conditions
$89.10
Multiple Sclerosis
$53.31
Oncology
$49.62
Hepatitis C
$38.44
HIV
$31.53
Growth Deficiency
$7.12
Cystic fibrosis
$6.64
Pulmonary hypertension
$5.85
Hemophilia
$5.79
Sleep disorders
$4.57
$0
$10
$20
Source: Express Scripts 2015 Drug Trend Report
$30
$40
$50
$60
$70
$80
$90
$100