A Snapshot of Cancer Spending and Outcomes

1. 34
40
48
60
82
203
265
23
29
29
43
63
212
243
0 50 100 150 200 250 300
Endocrine, nutritional and metabolic diseases
Mental and behavioral disorders
Diseases of the nervous system
External causes of mortality
Diseases of the respiratory system
Cancers and tumors (Neoplasms)
Diseases of the circulatory system
Comparable Country Average United States
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.
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

2. 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)
Lung cancer is the largest contributor to disease
burden among cancers for both males and females
133
143
145
167
170
183
220
364
366
980
- 400 800 1,200
Esophageal
Brain and nervous system
Liver
Non-Hodgkin lymphoma
Leukemia
Other neoplasms
Pancreatic
Colon and rectal
Prostate
Lung and related
MALES
Age standardized disability adjusted life years (DALYs) rate per
100,000 population, males in the U.S., 2013
FEMALES
Age standardized disability adjusted life years (DALYs) rate per
100,000 population, females in the U.S., 2013
86
91
97
102
151
158
164
249
517
639
- 500 1,000
Cervical
Brain and nervous system
Non-Hodgkin lymphoma
Leukemia
Other neoplasms
Pancreatic
Ovarian
Colon and rectal
Breast
Lung and related

3. 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.
Cancer spending accounts for about 7% of disease-based
health expenditures
Total expenditures in US $ billions by disease category, 2012
Ill-defined conditions,
$247
Circulatory,
$243
Musculoskeletal,
$188
Respiratory,
$158
Endocrine -
$138
Nervous
system -
$133Cancers - $124
Injury - $118
Genitourinary - $113
Digestive - $107
Mental Illness - $80
Infectious diseases - $67
Dermatological - $44
Pregnancy, birth - $39
Other -
$93

4. 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.
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
1.7%
2.3%
4.1%
4.4%
5.1%
5.3%
5.9%
6.2%
6.3%
6.5%
7.4%
8.5%
8.6%
11.0%
16.6%
0% 2% 4% 6% 8% 10% 12% 14% 16% 18%
Pregnancy/childbirth
Dermatological
Mental illness
Infectious diseases
Digestive
Injury and poisoning
Genitourinary
Other
Cancer
Respiratory
Nervous system
Endocrine
Circulatory
Musculoskeletal
Ill-defined conditions

5. 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.
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
5.0%
4.6%
1.3%
5.4%
4.4%
1.9%
0.0%
1.0%
2.0%
3.0%
4.0%
5.0%
6.0%
Spending per capita Cost to treat each case Number of treated cases
Cancer All diseases

6. Source: Express Scripts 2015 Drug Trend Report
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
$4.57
$5.79
$5.85
$6.64
$7.12
$31.53
$38.44
$49.62
$53.31
$89.10
$0 $10 $20 $30 $40 $50 $60 $70 $80 $90 $100
Sleep disorders
Hemophilia
Pulmonary hypertension
Cystic fibrosis
Growth Deficiency
HIV
Hepatitis C
Oncology
Multiple Sclerosis
Inflammatory conditions