. Author manuscript; available in PMC: 2020 Jan 1.

Published in final edited form as: Health Aff (Millwood). 2019 Jan;38(1):60–67. doi: 10.1377/hlthaff.2018.05148

Exhibit 4:

Maximum thresholds for implementation costs under various scenarios (millions of dollars)

	7-year projection				Lifetime projection
Projected LDCT screening rates (per 100,000)	Untargeted programs	Risk-targeted programs			Untargeted programs	Risk-targeted programs
Projected LDCT screening rates (per 100,000)	Untargeted programs	Conservative	Moderate	Aggressive	Untargeted programs	Conservative	Moderate	Aggressive
3,900 (Baseline)	$0.0	$41.0	$63.8	$110.6	$0.0	$88.0	$134.6	$225.0
5,000	9.6	61.6	90.8	150.8	144.0	249.1	308.9	424.7
7,500	30.5	108.5	152.4	242.3	457.5	615.2	704.9	878.6
10,000	51.4	155.4	213.9	333.8	771.1	981.3	1,100.9	1,332.5
15,000	93.1	249.2	336.9	516.8	1,398.2	1,713.6	1,892.9	2,240.4

SOURCE Authors’ analysis. NOTES The thresholds represent the maximum costs associated with implementing an incentive program to cancel out the additional net monetary benefits of increasing low-dose computed tomography (LDCT) screening under the program. We applied a valuation of $100,000 per life-year to calculate the net of monetized additional life-years gained and health care costs.