Health Insurance Mandates, Mammography, and Breast Cancer Diagnoses

• 成果类型: Article
• 署名作者: Bitler, Marianne P.; Carpenter, Christopher S.
• 署名单位: University of California System; University of California Davis; Vanderbilt University
• 刊物名称: AMERICAN ECONOMIC JOURNAL-ECONOMIC POLICY
• ISSN/ISSBN: 1945-7731
• DOI: 10.1257/pol.20120298
• 发表日期: 2016
• 页码: 39-68
• 关键词: UNITED-STATES; benefits; LAWS; care; bootstrap; coverage; access; length; adults; women

摘要

We examine the effects of state health insurance mandates requiring coverage of screening mammograms. We find evidence that mammography mandates significantly increased mammography screenings by 4.5-25 percent. Effects are larger for women with less than a high school degree in states that ban deductibles, a policy similar to a provision of federal health reform that eliminates cost-sharing for preventive care. We also find that mandates increased detection of early stage in-situ precancers. Finally, we find a substantial proportion of the increased screenings were attributable to mandates that are not consistent with 2014 recommendations of the American Cancer Society.