ArticleThe New England journal of medicine2018
Elimination of Cost Sharing for Screening Mammography in Medicare Advantage Plans.
Article in The New England journal of medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- The effect of promotional health message framing on the perceived benefit of mammography: evidence from estimation of willingness to pay.Journal of health, population, and nutrition · 2025Trial
- Associations between social drivers of health and breast cancer stage at diagnosis among U.S. Black women.NPJ breast cancer · 2025Article
- Evaluation of Financial Interventions in Breast Cancer Care Worldwide: A Systematic Review.Plastic and reconstructive surgery. Global open · 2024Article
- Patients' perceptions of targeted breast ultrasound and digital breast tomosynthesis in the diagnostic setting: A mixed methods study.PloS one · 2024Article
- Mammogram perceptions, communication, and gaps in care among individuals with non-English language preference in Oregon and Washington states.Preventive medicine reports · 2023Article
- Coverage Parity And Racial And Ethnic Disparities In Mental Health And Substance Use Care Among Medicare Beneficiaries.Health affairs (Project Hope) · 2023Article
- Insurance Coverage Mandates and the Adoption of Digital Breast Tomosynthesis.JAMA network open · 2022Article
- Change in mammography screening attendance after removing the out-of-pocket fee: a population-based study in Sweden (2014-2018).Cancer causes & control : CCC · 2021Article
- Reduced Mammography Screening for Breast Cancer among Women with Visual Impairment.Ophthalmology · 2021Article
- Access to Care as a Barrier to Mammography for Black Women.Policy, politics & nursing practice · 2021Article
- The Role of Social Determinants of Health in Self-Reported Access to Health Care Among Women Undergoing Screening Mammography.Journal of women's health (2002) · 2020Article
- The Affordable Care Act and Ethnic Disparities in Colorectal Cancer Screening.American journal of preventive medicine · 2020Article
- The effect of the Affordable Care Act on patient out-of-pocket cost and use of preventive cancer screenings in Massachusetts.Preventive medicine reports · 2019Article
- Breast Screening Utilization and Cost Sharing Among Employed Insured Women After the Affordable Care Act.Journal of the American College of Radiology : JACR · 2019Article
- The association of chronic diseases and mammography among Medicare beneficiaries living in Appalachia.Women's health (London, England)Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe Affordable Care Act (ACA) required most insurers and the Medicare program to eliminate cost sharing for screening mammography.
methodsWe conducted a difference-in-differences study of biennial screening mammography among 15,085 women 65 to 74 years of age in 24 Medicare Advantage plans that eliminated cost sharing to provide full coverage for screening mammography, as compared with 52,035 women in 48 matched control plans that had and maintained full coverage.
resultsIn plans that eliminated cost sharing, adjusted rates of biennial screening mammography increased from 59.9% (95% confidence interval [CI], 54.9 to 65.0) in the 2-year period before cost-sharing elimination to 65.4% (95% CI, 61.8 to 69.0) in the 2-year period thereafter. In control plans, the rates of biennial mammography were 73.1% (95% CI, 69.2 to 77.0) and 72.8% (95% CI, 69.7 to 76.0) during the same periods, yielding a difference in differences of 5.7 percentage points (95% CI, 3.0 to 8.4). The difference in differences was 9.8 percentage points (95% CI, 4.5 to 15.2) among women living in the areas with the highest quartile of educational attainment versus 4.3 percentage points (95% CI, 0.2 to 8.4) among women in the lowest quartile. As indicated by the difference-in-differences estimates, after the elimination of cost sharing, the rate of biennial mammography increased by 6.5 percentage points (95% CI, 3.7 to 9.4) for white women and 8.4 percentage points (95% CI, 2.5 to 14.4) for black women but was almost unchanged for Hispanic women (0.4 percentage points; 95% CI, -7.3 to 8.1).
conclusionsThe elimination of cost sharing for screening mammography under the ACA was associated with an increase in rates of use of this service among older women for whom screening is recommended. The effect was attenuated among women living in areas with lower educational attainment and was negligible among Hispanic women. (Funded by the National Institute on Aging.).
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