Two-year trends in colorectal cancer screening after switch to a high-deductible health plan

Medical Care

Volumn 49, Issue 9, 2011, Pages 865-871

  Wharam, James Frank ^a   Graves, Amy Johnson ^a   Landon, Bruce E ^a   Zhang, Fang ^a   Soumerai, Stephen B ^a   Ross Degnan, Dennis ^a  

^a HARVARD MEDICAL SCHOOL   (United States)

Author keywords

colorectal cancer screening; health care disparities; health insurance; quality of care

Indexed keywords

ADULT; ARTICLE; BARIUM ENEMA; CANCER SCREENING; COLONOSCOPY; COLORECTAL CANCER; DOUBLE CONTRAST BARIUM ENEMA; FEMALE; HEALTH CARE PLANNING; HEALTH DISPARITY; HEALTH INSURANCE; HEALTH MAINTENANCE ORGANIZATION; HIGH DEDUCTIBLE HEALTH PLAN; HUMAN; MAJOR CLINICAL STUDY; MALE; OCCULT BLOOD TEST; PRIORITY JOURNAL; SIGMOIDOSCOPY; SOCIOECONOMICS;

CASE-CONTROL STUDIES; COLONOSCOPY; COLORECTAL NEOPLASMS; DEDUCTIBLES AND COINSURANCE; FEMALE; FINANCING, PERSONAL; GUIDELINE ADHERENCE; HUMANS; MALE; MASS SCREENING; MIDDLE AGED; NEW ENGLAND; OCCULT BLOOD; PATIENT ACCEPTANCE OF HEALTH CARE; PROPENSITY SCORE; REGRESSION ANALYSIS; SOCIOECONOMIC FACTORS;

EID: 80052142114     PISSN: 00257079     EISSN: 15371948     Source Type: Journal    
DOI: 10.1097/MLR.0b013e31821b35d8     Document Type: Article

References (48)

1. Joseph DA, Rim SH, Seeff LC. Use of colorectal cancer testsFUnited States, 2002, 2004, and 2006. MMWR Morb Mortal Wkly Rep. 2008;57:253-258.
2. Richardson LC, Rim SH, Plescia M. Vital signs: colorectal cancer screening among adults aged 50-75 years-United States, 2008. MMWR Morb Mortal Wkly Rep. 2010;59:808-812.
3. Winawer SJ, Zauber AG, Ho MN, et al. Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup. N Engl J Med. 1993;329:1977-1981. (Pubitemid 24015040)
4. Pignone M, Rich M, Teutsch SM, et al. Screening for colorectal cancer in adults at average risk: a summary of the evidence for the US Preventive Services Task Force. Ann Intern Med. 2002;137:132-141. (Pubitemid 34779159)
5. Winawer S, Fletcher R, Rex D, et al. Colorectal cancer screening and surveillance: clinical guidelines and rationale-Update based on new evidence. Gastroenterology. 2003;124:544-560. (Pubitemid 36169269)
6. Recommendations and Rationale: Screening for Colorectal Cancer. 2008. (Available at: http://www.ahrq.gov/clinic/uspstf08/colocancer/colors.htm. Accessed August 12, 2010.)
7. Levin B, Lieberman DA, McFarland B, et al. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. Gastroenterology. 2008;134:1570-1595. (Pubitemid 351615355)
8. The Kaiser Family Foundation and Health Research and Educational Trust Employer health benefits 2010 annual survey. 2010. (Available at: http://ehbs.kff.org/pdf/2010/8085.pdf. Accessed September 27, 2010.)
9. Ginsburg PB. Controlling health care costs. N Engl J Med. 2004; 351:1591-1593. (Pubitemid 39350415)
10. Lee TH, Zapert K. Do high-deductible health plans threaten quality of care? N Engl J Med. 2005;353:1202-1204. (Pubitemid 41345941)
11. Rubin RJ, Mendelson DN. Cost sharing in health insurance. N Engl J Med. 1995;333:733-734.
12. January 2010 Census Shows 10 Million People Covered by HSA/Highdeductible Health Plans. 2010. (Available at: http://www.ahipresearch. org/pdfs/HSA2010.pdf. Accessed September 29, 2010.)
13. Advocates see growth for health savings accounts. Reuters, 2010. (Available at: http://www.reuters.com/article/idUSTRE62M4AY20100323. Accessed March 13, 2010.)
14. Employers May Move By 2018 To Avoid Tax. National Journal, 2010. (Available at: http://healthcare.nationaljournal.com/2010/05/a-futurefor- consumerdirected.php. Accessed August 12, 2010.)
15. Study: High deductible health plans may proliferate. Boston Globe, 2010. (Available at: http://www.boston.com/business/ticker/2010/07/high-deductible. html. Accessed August 12, 2010.)
16. Newhouse JP, Manning WG, Morris CN, et al. Some interim results from a controlled trial of cost sharing in health insurance. N Engl J Med. 1981;305:1501-1507. (Pubitemid 12244205)
17. Lohr KN, Brook RH, Kamberg CJ, et al. Use of medical care in the Rand Health Insurance Experiment. Diagnosis-Diagnosis and service-specific analyses in a randomized controlled trial. Med Care. 1986;24:S1-S87. (Pubitemid 17197402)
18. Liang SY, Phillips KA, Tye S, et al. Does patient cost sharing matter? Its impact on recommended versus controversial cancer screening services. Am J Manag Care. 2004;10:99-107. (Pubitemid 38248590)
19. Friedman C, Ahmed F, Franks A, et al. Association between health insurance coverage of office visit and cancer screening among women. Med Care. 2002;40:1060-1067.
20. Blustein J. Medicare coverage, supplemental insurance, and the use of mammography by older women. N Engl J Med. 1995;332:1138-1143.
21. Wharam JF, Landon BE, Galbraith AA, et al. Emergency department use and subsequent hospitalizations among members of a high-deductible health plan. JAMA. 2007;297:1093-1102. (Pubitemid 46425514)
22. Trivedi AN, Rakowski W, Ayanian JZ. Effect of cost sharing on screening mammography in medicare health plans. N Engl J Med. 2008;358:375-383. (Pubitemid 351159237)
23. Rice T, Morrison KR. Patient cost sharing for medical services: a review of the literature and implications for health care reform. Med Care Rev. 1994;51:235-287.
24. Wharam JF, Galbraith AA, Kleinman KP, et al. Cancer screening before and after switching to a high-deductible health plan. Ann Intern Med. 2008;148:647-655. (Pubitemid 351669109)
25. Busch SH, Barry CL, Vegso SJ, et al. Effects of a cost-sharing exemption on use of preventive services at one large employer. Health Aff (Millwood). 2006;25:1529-1536. (Pubitemid 44871719)
26. Cook EF, Goldman L. Performance of tests of significance based on stratification by a multivariate confounder score or by a propensity score. J Clin Epidemiol. 1989;42:317-324. (Pubitemid 19133717)
27. D'Agostino RB Jr. Propensity score methods for bias reduction in the comparison of a treatment to a non-randomized control group. Stat Med. 1998;17:2265-2281. (Pubitemid 28466823)
28. Rubin DB. The design versus the analysis of observational studies for causal effects: parallels with the design of randomized trials. Stat Med. 2007;26:20-36. (Pubitemid 46099415)
29. Local and Global Optimal Propensity Score Matching. 2007. (Available at: http://www2.sas.com/proceedings/forum2007/185-2007.pdf. Accessed December 19, 2009.)
30. Weiner JP, Abram SC. The Johns Hopkins ACG System Technical Reference Guide, Version 9.0. Baltimore, MD: The Johns Hopkins University; 2009.
31. Austin PC. Optimal caliper widths for propensity-score matching when estimating differences in means and differences in proportions in observational studies. Pharm Stat. 2010. [Epub ahead of print; Apr 27, 2010].
32. Reid RJ, Roos NP, MacWilliam L, et al. Assessing population health care need using a claims-based ACG morbidity measure: a validation analysis in the Province of Manitoba. Health Serv Res. 2002;37: 1345-1364. (Pubitemid 35398462)
33. US Bureau of the Census. Geographical Areas Reference Manual. Washington, DC: US Bureau of the Census; 1994.
34. Krieger N. Overcoming the absence of socioeconomic data in medical records: validation and application of a census-based methodology. Am J Public Health. 1992;82:703-710.
35. Krieger N, Chen JT, Waterman PD, et al. Race/ethnicity, gender, and monitoring socioeconomic gradients in health: a comparison of areabased socioeconomic measuresFthe public health disparities geocoding project. Am J Public Health. 2003;93:1655-1671. (Pubitemid 38477631)
36. Trivedi AN, Zaslavsky AM, Schneider EC, et al. Relationship between quality of care and racial disparities in Medicare health plans. JAMA. 2006;296:1998-2004. (Pubitemid 44631446)
37. Selby JV, Fireman BH, Swain BE. Effect of a copayment on use of the emergency department in a health maintenance organization. N Engl J Med. 1996;334:635-641. (Pubitemid 26072122)
38. Krieger N, Chen JT, Waterman PD, et al. Painting a truer picture of US socioeconomic and racial/ethnic health inequalities: the Public Health Disparities Geocoding Project. Am J Public Health. 2005;95: 312-323. (Pubitemid 40179832)
39. Vyas S, Kumaranayake L. Constructing socio-economic status indices: how to use principal components analysis. Health Policy Plan. 2006;21: 459-468. (Pubitemid 44627319)
40. Creation of New Race-Ethnicity Codes and Socioeconomic Status (SES) Indicators for Medicare Beneficiaries. 2008. (Available at: http://www.ahrq.gov/ qual/medicareindicators/medicareindicators.pdf. Accessed January 8, 2011.)
41. Koenker R, Bassett GW. Regression Quantiles. Econometrica. 1978; 46:33-50.
42. Liang KY, Zeger SL. Longitudinal data analysis using generalized linear models. Biometrika. 1986;73:13-22.
43. Zeger SL, Liang KY. Longitudinal data analysis for discrete and continuous outcomes. Biometrics. 1986;42:121-130.
44. Brenner H, Hoffmeister M, Arndt V, et al. Protection from right-and left-sided colorectal neoplasms after colonoscopy: population-based study. J Natl Cancer Inst. 2010;102:89-95.
45. Baxter NN, Goldwasser MA, Paszat LF, et al. Association of colonoscopy and death from colorectal cancer. Ann Intern Med. 2009;150:1-8.
46. Neugut AI, Lebwohl B. Colonoscopy vs sigmoidoscopy screening: getting it right. JAMA. 2010;304:461-462.
47. The Patient Protection and Affordable Care Act. 2010. (Available at: http://democrats.senate.gov/reform/patient-protection-affordable-care-actas- passed.pdf. Accessed July 28, 2010.)
48. Jost TS. Health insurance exchanges: legal issues. J Law Med Ethics. 2009;37(suppl 2):51-70.