The Colorado Cancer Screening Program, within the University of Colorado Cancer Center, learned years ago that patient navigators could make a huge impact in getting medically underserved people to screening appointments. The no-show rate at one safety net clinic dropped to 10% from 75% in one year after navigators began working with patients in their native languages, and offering to pay for transportation to screenings, prescriptions or child care. Prior to the extra help, Medicaid patients were not showing up for appointments or showing up without following the instructions, including fasting or taking the bowel-preparation medicine before a colonoscopy. Andi Dwyer, director of patient navigation at the screening program, called this year’s legislation a “game-changer.” “If this was a pill or device, we would have probably seen payment for this 10 years ago,” she said.