Home - News ( United States | United Kingdom | Italy | Germany ) - Football scores

Showing content from https://pubmed.ncbi.nlm.nih.gov/21029084/ below:

Coverage and preventive screening - PubMed

Affiliations

• ¹ RAND Corporation, 1776 Main Street, Santa Monica, CA 90407-2138, USA. dmeeker@rand.org

• PMID: 21029084
• PMCID: PMC3034268
• DOI: 10.1111/j.1475-6773.2010.01188.x

Item in Clipboard

Daniella Meeker et al. Health Serv Res. 2011 Feb.

• ¹ RAND Corporation, 1776 Main Street, Santa Monica, CA 90407-2138, USA. dmeeker@rand.org

• PMID: 21029084
• PMCID: PMC3034268
• DOI: 10.1111/j.1475-6773.2010.01188.x

Item in Clipboard

Context: Preventive care has been shown as a high-value health care service. Many employers now offer expanded coverage of preventive care to encourage utilization.

Objective: To determine whether expanding coverage is an effective means to encourage utilization.

Design: Comparison of screening rates before and after introduction of deductible-free coverage.

Setting: People insured through large corporations between 2002 and 2006.

Patients or other participants: Preferred Provider Organization (PPO) enrollees from an employer introducing deductible-free coverage, and a control group enrolled in a PPO from a second employer with no policy change.

Main outcome measures: Adjusted probability of endoscopy, fecal occult blood test (FOBT), lipid screens, mammography, and Papanicolaou (pap) smears.

Intervention: Introduction of first-dollar coverage (FDC) of preventive services in 2003.

Results: After adjusting for demographics and secular trends, there were between 23 and 78 additional uses per 1,000 eligible patients of covered preventive screens (lipid screens, pap smears, mammograms, and FOBT), with no significant changes in the control group or in a service without FDC (endoscopy).

Conclusions: FDC improves utilization modestly among healthy individuals, particularly those in lower deductible plans. Compliance with guidelines can be encouraged by lowering out-of-pocket costs, but patients' predisposing characteristics merit attention.

© Health Research and Educational Trust.

PubMed Disclaimer

• Two-year trends in cancer screening among low socioeconomic status women in an HMO-based high-deductible health plan.

  Wharam JF, Graves AJ, Zhang F, Soumerai SB, Ross-Degnan D, Landon BE. Wharam JF, et al. J Gen Intern Med. 2012 Sep;27(9):1112-9. doi: 10.1007/s11606-012-2057-x. Epub 2012 Apr 29. J Gen Intern Med. 2012. PMID: 22544705 Free PMC article.

• Association between health insurance coverage of office visit and cancer screening among women.

  Friedman C, Ahmed F, Franks A, Weatherup T, Manning M, Vance A, Thompson BL. Friedman C, et al. Med Care. 2002 Nov;40(11):1060-7. doi: 10.1097/00005650-200211000-00007. Med Care. 2002. PMID: 12409851

• Effectiveness of Medicare cost-sharing elimination for Cancer screening on utilization.

  Xu WY, Wickizer TM, Jung JK. Xu WY, et al. BMC Health Serv Res. 2019 Jun 17;19(1):392. doi: 10.1186/s12913-019-4135-9. BMC Health Serv Res. 2019. PMID: 31208422 Free PMC article.

• Effect of cost-sharing reductions on preventive service use among Medicare fee-for-service beneficiaries.

  Goodwin SM, Anderson GF. Goodwin SM, et al. Medicare Medicaid Res Rev. 2012 Feb 8;2(1):002.01.a03. doi: 10.5600/mmrr.002.01.a03. eCollection 2012. Medicare Medicaid Res Rev. 2012. PMID: 24800136 Free PMC article.

• Colorectal Cancer Screening in a Nationwide High-deductible Health Plan Before and After the Affordable Care Act.

  Wharam JF, Zhang F, Landon BE, LeCates R, Soumerai S, Ross-Degnan D. Wharam JF, et al. Med Care. 2016 May;54(5):466-73. doi: 10.1097/MLR.0000000000000521. Med Care. 2016. PMID: 27078821

• Has recommended preventive service use increased after elimination of cost-sharing as part of the Affordable Care Act in the United States?

  Han X, Robin Yabroff K, Guy GP Jr, Zheng Z, Jemal A. Han X, et al. Prev Med. 2015 Sep;78:85-91. doi: 10.1016/j.ypmed.2015.07.012. Epub 2015 Jul 23. Prev Med. 2015. PMID: 26209914 Free PMC article.

• Mammography Use Among Medicare Beneficiaries After Elimination of Cost Sharing.

  Sabatino SA, Thompson TD, Guy GP Jr, de Moor JS, Tangka FK. Sabatino SA, et al. Med Care. 2016 Apr;54(4):394-9. doi: 10.1097/MLR.0000000000000495. Med Care. 2016. PMID: 26759983 Free PMC article.

• Screening Mammography for Free: Impact of Eliminating Cost Sharing on Cancer Screening Rates.

  Jena AB, Huang J, Fireman B, Fung V, Gazelle S, Landrum MB, Chernew M, Newhouse JP, Hsu J. Jena AB, et al. Health Serv Res. 2017 Feb;52(1):191-206. doi: 10.1111/1475-6773.12486. Epub 2016 Mar 17. Health Serv Res. 2017. PMID: 26990550 Free PMC article.

• The effect of the Affordable Care Act on patient out-of-pocket cost and use of preventive cancer screenings in Massachusetts.

  Steenland M, Sinaiko A, Glynn A, Fitzgerald T, Cohen J. Steenland M, et al. Prev Med Rep. 2019 Jun 21;15:100924. doi: 10.1016/j.pmedr.2019.100924. eCollection 2019 Sep. Prev Med Rep. 2019. PMID: 31333996 Free PMC article.

• The long term effects of "Consumer-Directed" health plans on preventive care use.

  Eisenberg MD, Haviland AM, Mehrotra A, Huckfeldt PJ, Sood N. Eisenberg MD, et al. J Health Econ. 2017 Sep;55:61-75. doi: 10.1016/j.jhealeco.2017.06.008. Epub 2017 Jun 27. J Health Econ. 2017. PMID: 28712437 Free PMC article.

1. 1. American Cancer Society. 2008. “American Cancer Society Guidelines for the Early Detection of Cancer” [accessed on December 13, 2008]. Available at: http://www.cancer.org/docroot/ped/content/ped_2_3x_acs_cancer_detection_....
2. 1. Center on Budget and Policy Priorities. 2006. “Health Savings Accounts Unlikely to Significantly Reduce Health Care Spending” [accessed on November 1, 2008]. Available at: http://www.cbpp.org/6-12-06health.htm.
3. 1. Centers for Disease Control and Prevention. 2008. “Selected Preventative Screening Recommendations” [accessed on December 13, 2008]. Available at: http://www.cdc.gov/nccdphp/dnpa/hwi/resources/screening_matrix.htm.
4. 1. Chaudhry R, Scheitel SM, McMurtry EK, Leutink DJ, Cabanela RL, Naessens JM, Rahman AS, Davis LA, Stroebel RJ. Web-Based Proactive System to Improve Breast Cancer Screening: A Randomized Controlled Trial. Archives of Internal Medicine. 2007;167(6):606–11. - PubMed
5. 1. Cherkin DL, Grothaus L, Wagner EH. The Effect of Office Visit Copayments on Preventive Care Services in an HMO. Inquiry. 1990;27(1):24–38. - PubMed

RetroSearch is an open source project built by @garambo | Open a GitHub Issue

Search and Browse the WWW like it's 1997 | Search results from DuckDuckGo

HTML: 3.2 | Encoding: UTF-8 | Version: 0.7.3