Mailed FIT (Fecal Immunochemical Test), Navigation or Patient Reminders? Using Microsimulation to Inform Selection of Interventions to Increase Colorectal Cancer Screening in Medicaid Enrollees

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

Published in final edited form as: Prev Med. 2019 Oct 18;129 Suppl:105836. doi: 10.1016/j.ypmed.2019.105836

Intervention	Intervention Steps	Cost (per patient unless otherwise notes)
Detailing+	Physician training sessions	$970.25, per clinic (lower: $700, upper: $1250)^40,51
	Technical and programming staff	$207.91, per clinic (lower: $150, upper: $270)^51,52
	Quarterly meetings with updates	$408.5, per clinic (lower: $250, upper: $550)^51,52
Reminders	Technical staff (to manage automatic calls, maintain the EHR program, track patients, etc.)	$0.79⁵³
Reminders	Automatic calls/texts (to alert patients that they are not up-to-date on screening)	$0.64⁵³
Mailed FIT	FIT kit	$3.27⁵⁴
	Mailing costs: postage, stamps, envelopes, paper, and materials (letter from provider, fact sheet, directions for FIT use)	$1.35⁵⁴
	Project management staff (to fill envelopes, manage the project, etc.)	$0.50⁵³
	Technical staff (to manage automatic calls, maintain the EHR program, track patients, etc.)	$0.79⁵³
	Automated phone reminder to complete FIT	$0.64⁵³
Navigation	Navigator staff (making the navigation calls)	$35.41 (lower: $13.50, upper: $108.03)^44,45,55,56
	Technical staff (system development and maintenance -- keep track of who is up-to-date on screening and who needs to be called)	$0.79⁵³
	Navigator training	$1123.45 (lower: $500, upper: $1500)^52,57,58
Mailed FIT+ Navigation	See above for cost estimates. Note that the effectiveness estimates for these combined interventions are not equal to the sum of each intervention alone.