Elimination of Cost Sharing for Screening Mammography in Medicare Advantage Plans.

ABSTRACT:

Background

The Affordable Care Act (ACA) required most insurers and the Medicare program to eliminate cost sharing for screening mammography.

Methods

We 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.

Results

In 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,

SUBMITTER: Trivedi AN 

PROVIDER: S-EPMC5842919 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature