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Showing content from https://pubmed.ncbi.nlm.nih.gov/26759983/ below:

Mammography Use Among Medicare Beneficiaries After Elimination of Cost Sharing

Affiliations

• ¹ *Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA †Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD.

• PMID: 26759983
• PMCID: PMC5863723
• DOI: 10.1097/MLR.0000000000000495

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Susan A Sabatino et al. Med Care. 2016 Apr.

• ¹ *Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA †Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD.

• PMID: 26759983
• PMCID: PMC5863723
• DOI: 10.1097/MLR.0000000000000495

Item in Clipboard

Background: We examined mammography use before and after Medicare eliminated cost sharing for screening mammography in January 2011.

Methods: Using National Health Interview Survey data, we examined changes in mammography use between 2010 and 2013 among Medicare beneficiaries aged 65-74 years. Logistic regression and predictive margins were used to examine changes in use after adjusting for covariates.

Results: In 2013, 74.7% of women reported a mammogram within 2 years, a 3.5 percentage point increase (95% confidence interval, -0.3, 7.2) compared with 2010. Increases occurred among women aged 65-69 years, unmarried women, and women with usual sources of care and 2-5 physician visits in the prior year. After adjustment, mammography use increased in 2013 versus 2010 (74.8% vs. 71.3%, P=0.039). Interactions between year and income, insurance, race, or ethnicity were not significant.

Conclusions: There was a modest increase in mammography use from 2010 to 2013 among Medicare beneficiaries aged 65-74 years, possibly consistent with an effect of eliminating Medicare cost sharing during this time. Findings suggest that eliminating cost sharing might increase use of recommended screening services.

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Mammography trends among Medicare beneficiaries…

Mammography trends among Medicare beneficiaries aged 65–74 years. NHIS indicates National Health Interview…

Mammography trends among Medicare beneficiaries aged 65–74 years. NHIS indicates National Health Interview Survey.

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