Michigan
Fee-For-Service Medicaid Coverage of Screening
Yes
Highlighted Disparity
Indigenous Peoples in Michigan are most likely to be diagnosed with lung cancer.
Lung Cancer Rates
New Cases:
- The rate of new lung cancer cases is 63 and significantly higher than the national rate of 58.
- Michigan ranks 35th among all states, placing it in the average tier.
- Over the last five years, the rate of new cases improved by 9%.
5-Year Survival Rate:
- The percent of people still alive five years after being diagnosed with lung cancer (the survival rate) is 24% nationally.
- Michigan is one of the 6 states for which survival data is not available as they do not track cases after diagnosis.
Early Diagnosis:
- 23% of cases are caught at an early stage, which is significantly lower than the national rate of 24%.
- It ranks 39th among the 49 states with data on diagnosis at an early stage, placing it in the below average tier.
- Over the last five years, the early diagnosis rate in Michigan improved by 41%.
Lung Cancer Treatment
Surgical Treatment:
- Michigan ranked 27 (out of the 49 states with available data) with 19% of cases undergoing surgery as part of the first course of treatment.
- This is significantly lower than the national rate of 20.7% and puts Michigan in the below average tier.
- Over the last five years, the percent of cases undergoing surgery in Michigan #improved by 11%.
Lack of Treatment:
- Michigan ranked 19th (out of the 49 states with available data) with 19% of cases not receiving any treatment.
- This is significantly lower than the national rate of 21% and puts Michigan in the above average tier.
- Over the last five years, the percent of cases receiving no treatment in Michigan improved by 11%.
Screening
Screening for High Risk:
- In Michigan, 8% of those at high risk were screened, which was significantly higher than the national rate of 6%.
- It ranks 11th among all states, placing it in the above average tier.
Medicaid Coverage:
- Michigan was one of the 40 states whose Medicaid fee-for-service programs covered lung cancer screening as of September 2021.
- In addition, their program used recommended guidelines for determining eligibility and did not require prior authorization or cost sharing.
Prevention
Tobacco Use:
- The smoking rate in Michigan is 19% and significantly higher than the national rate of 15%.
- It ranks 39th among all states, placing it in the below average tier.
Radon:
- In Michigan, 23% of radon tests results were at or above the action level recommended by EPA.
- It ranks 26th among all states, placing it in the average tier.
Racial & Ethnic Disparities
Black Americans:
- The rate of new lung cancer cases is 69 per 100,000 population among Black Americans in Michigan, significantly higher than the rate of 60 among Black Americans nationally, and significantly higher than the rate of 64 among whites in Michigan.
- Survival rates by race and ethnicity are not available for Michigan at this time.
- 19% of lung cancer cases are diagnosed at an early stage among Black Americans in Michigan, significantly lower than the rate of 21% among Black Americans nationally, and significantly lower than the rate of 23% among whites in Michigan.
- 16% of Black Americans with lung cancer in Michigan underwent surgery, significantly lower than the rate of 17% among Black Americans nationally, and significantly lower than the rate of 20% among whites in Michigan.
- 23% of Black Americans with lung cancer in Michigan did not receive any treatment, not significantly different than the rate of 23% among Black Americans nationally, and significantly higher than the rate of 18% among whites in Michigan.
Latino Americans:
- The rate of new lung cancer cases is 33 per 100,000 population among Latinos in Michigan, not significantly different than the rate of 29 among Latinos nationally, and significantly lower than the rate of 64 among whites in Michigan.
- Survival rates by race and ethnicity are not available for Michigan at this time.
- 21% of lung cancer cases are diagnosed at an early stage among Latinos in Michigan, not significantly different than the rate of 22% among Latinos nationally, and not significantly different than the rate of 23% among whites in Michigan.
- 21% of Latinos with lung cancer in Michigan underwent surgery, not significantly different than the rate of 21% among Latinos nationally, and not significantly different than the rate of 20% among whites in Michigan.
- 19% of Latinos with lung cancer in Michigan did not receive any treatment, significantly lower than the rate of 26% among Latinos nationally, and not significantly different than the rate of 18% among whites in Michigan.
Asian Americans or Pacific Islanders:
- The rate of new lung cancer cases is 28 per 100,000 population among Asian Americans or Pacific Islanders in Michigan, significantly lower than the rate of 34 among Asian Americans or Pacific Islanders nationally, and significantly lower than the rate of 64 among whites in Michigan.
- Survival rates by race and ethnicity are not available for Michigan at this time.
- 20% of lung cancer cases are diagnosed at an early stage among Asian Americans or Pacific Islanders in Michigan, not significantly different than the rate of 21% among Asian Americans or Pacific Islanders nationally, and not significantly different than the rate of 23% among whites in Michigan.
- 21% of Asian Americans or Pacific Islanders with lung cancer in Michigan underwent surgery, not significantly different than the rate of 24% among Asian Americans or Pacific Islanders nationally, and not significantly different than the rate of 20% among whites in Michigan.
- 21% of Asian Americans or Pacific Islanders with lung cancer in Michigan did not receive any treatment, not significantly different than the rate of 22% among Asian Americans or Pacific Islanders nationally, and not significantly different than the rate of 18% among whites in Michigan.
Indigenous Peoples:
- The rate of new lung cancer cases is 110 per 100,000 population among Indigenous Peoples (American Indians/Alaska Natives) in Michigan, significantly higher than the rate of 41 among Indigenous Peoples nationally, and significantly higher than the rate of 64 among whites in Michigan.
- Survival rates by race and ethnicity are not available for Michigan at this time.
- 16% of lung cancer cases are diagnosed at an early stage among Indigenous Peoples (American Indians/Alaska Natives) in Michigan, significantly lower than the rate of 22% among Indigenous Peoples (American Indians/Alaska Natives) nationally, and significantly lower than the rate of 23% among whites in Michigan.
- 13% of Indigenous Peoples (American Indians/Alaska Natives) with lung cancer in Michigan underwent surgery, significantly lower than the rate of 17% among Indigenous Peoples (American Indians/Alaska Natives) nationally, and significantly lower than the rate of 20% among whites in Michigan.
- 22% of Indigenous Peoples (American Indians/Alaska Natives) with lung cancer in Michigan did not receive any treatment, not significantly different than the rate of 23% among Indigenous Peoples (American Indians/Alaska Natives) nationally, and not significantly different than the rate of 18% among whites in Michigan.
Summary
The early diagnosis rate in Michigan falls into the below average tier. The state still has a lot of work to do to make sure that more of those at high risk for lung cancer are screened.
Michigan has improved access to screening by covering it through its fee-for-service Medicaid program. The Lung Association encourages all states to cover lung cancer screening based on recommended guidelines across all fee-for-service and managed care plans without any financial or administrative barriers in their Medicaid programs.
Michigan falls into the above average tier for percent of patients not receiving any treatment. Some patients do refuse treatment, but issues such as fatalism and stigma can prevent eligible patients from accessing treatment that may save or extend their lives. All patients should work with their doctors to establish a treatment plan and goals.