Clinical Edge

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Elimination of Cost Sharing for Breast Cancer Screening

Cancer; ePub 2017 Feb 14; Peppercorn, et al

Rates of breast cancer screening improved among rural, working-age women following the elimination of cost sharing, a recent study found. The elimination of cost sharing as a natural experiment was evaluated and trends were compared in screening before and after the policy change. Researchers found:

  • 45,738 US women were enrolled in the study for an average of 6.1 years.
  • Between 1998 and 2011, the annual screening rate increased from 35% to a peak of 50% among women aged 40 to 49 years and from 49% to 58% among women aged 50 to 64 years.
  • Biennial screening rate increased from 56% to 66% for women aged 40 to 49 years and from 68% to 73% for those aged 50 to 64 years.
  • Younger women experienced greater increased in both annual screening (6.2%) and biennial screening (5.6%) after the eliminated of cost sharing compared to older women.

Citation:

Peppercorn J, Horick N, Houck K, et al. Impact of the elimination of cost sharing for mammographic breast cancer screening among rural US women: A natural experiment. [Published online ahead of print February 14, 2017]. Cancer. doi:10.1002/cncr.30629.