Effect of cost-sharing reductions on preventive service use among medicare fee-for-service beneficiaries

Medicare and Medicaid Research Review

Volumn 2, Issue 1, 2012, Pages

  Goodwin, Suzanne M ^a   Anderson, Gerard F ^a  

^a JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Cost sharing; Deductible; Mammograms; Medicare; Pap smears; Patient Protection and Affordable Care Act (ACA); Preventive services

Indexed keywords

AGED; ARTICLE; FEMALE; HEALTH CARE COST; HEALTH CARE UTILIZATION; HUMAN; MAMMOGRAPHY; MEDICARE; OUTCOME ASSESSMENT; PAPANICOLAOU TEST; PREVENTIVE HEALTH SERVICE; AGE; COST; ECONOMICS; EPIDEMIOLOGY; MEDICAL FEE; ORGANIZATION AND MANAGEMENT; PREVENTIVE MEDICINE; PROCEDURES; STATISTICS AND NUMERICAL DATA; UNITED STATES; UTILIZATION; VERY ELDERLY;

AGE FACTORS; AGED; AGED, 80 AND OVER; COST SHARING; DEDUCTIBLES AND COINSURANCE; FEE-FOR-SERVICE PLANS; FEMALE; HUMANS; MAMMOGRAPHY; MEDICARE; PAPANICOLAOU TEST; PREVENTIVE MEDICINE; UNITED STATES;

EID: 84930478954     PISSN: 21590354     EISSN: None     Source Type: Journal    
DOI: 10.5600/mmrr.002.01.a03     Document Type: Article

References (30)

1. Agency for Healthcare Research and Quality (2009). Clinical Classifications Software for ICD-9-CM. Retrieved February 22, 2009, from http://www.hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp#overview
2. Blustein, J. (1995). Medicare coverage, supplemental insurance, and the use of mammography by older women. The New England Journal of Medicine, 332(17), 1138-1143. PubMed http://dx.doi.org/10.1056/NEJM199504273321706
3. Bynum, J. P., Braunstein, J. B., Sharkey, P., Haddad, K., & Wu, A. W. (2005). The influence of health status, age, and race on screening mammography in elderly women. Archives of Internal Medicine, 165(18), 2083-2088. PubMed http://dx.doi.org/10.1001/archinte.165.18.2083
4. Centers for Disease Control and Prevention [CDC] (2007a). 2007 National Diabetes Fact Sheet. Retrieved September 14, 2010, from http://www.cdc.gov/diabetes/pubs/factsheet07.htm
5. Centers for Disease Control and Prevention [CDC] (2007b). Prevalence of chronic kidney disease and associated risk factors-United States, 1999-2004. MMWR Morbidity and Mortality Weekly Report, 56(8), 161-165.
6. Centers for Disease Control and Prevention [CDC] (2009). Hepatitis B FAQs for Health Professionals: Overview and Statistics. Retrieved September 14, 2010, from http://www.cdc.gov/hepatitis/HBV/HBVfaq.htm#overview
7. Centers for Medicare & Medicaid Services [CMS] (2010a). Medicare program; Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2011. Federal Register, 75(228), 73170-73860.
8. Centers for Medicare & Medicaid Services [CMS] (2010b). Physician Fee Schedule Search. Retrieved September 17, 2010, from http://www.cms.gov/apps/physician-fee-schedule/search/search-criteria.aspx
9. Centers for Medicare & Medicaid Services [CMS] (2010c). Preventive Services. Retrieved December 19, 2011, from http://www.Medicare.gov/navigation/manage-your-health/preventive-services/preventive-service-overview.aspx
10. Fleming, C., Whitlock, E. P., Beil, T. L., & Lederle, F. A. (2005). Screening for abdominal aortic aneurysm: A best-evidence systematic review for the U.S. Preventive Services Task Force. Annals of Internal Medicine, 142(3), 203-211. PubMed
11. Hartmann, K. E., Hall, S. A., Nanda, K., Boggess, J. F., & Zolnoun, D. (2002). Screening for Cervical Cancer. Rockville (MD): Agency for Healthcare Research and Quality. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK42831/
12. Hsia, J., Kemper, E., Kiefe, C., Zapka, J., Sofaer, S., Pettinger, M.,. Mason, E. (2000). The importance of health insurance as a determinant of cancer screening: Evidence from the Women's Health Initiative. Preventive Medicine, 31(3), 261-270. PubMed http://dx.doi.org/10.1006/pmed.2000.0697
13. Hwang, W., Weller, W., Ireys, H., & Anderson, G. (2001). Out-of-pocket medical spending for care of chronic conditions. Health Affairs, 20(6), 267-278. PubMed http://dx.doi.org/10.1377/hlthaff.20.6.267
14. Lane, D. S., Zapka, J., Breen, N., Messina, C. R., & Fotheringham, D. J. (2000). A systems model of clinical preventive care: The case of breast cancer screening among older women. For the NCI Breast Cancer Screening Consortium. Preventive Medicine, 31(5), 481-493. PubMed http://dx.doi.org/10.1006/pmed.2000.0747
15. Liang, S. Y., Phillips, K. A., Tye, S., Haas, J. S., & Sakowski, J. (2004). Does patient cost sharing matter? Its impact on recommended versus controversial cancer screening services. The American Journal of Managed Care, 10(2 Pt 1), 99-107. PubMed
16. Lurie, N., Manning, W. G., Peterson, C., Goldberg, G. A., Phelps, C. A., & Lillard, L. (1987). Preventive care: Do we practice what we preach? American Journal of Public Health, 77(7), 801-804. PubMed http://dx.doi.org/10.2105/AJPH.77.7.801
17. National Cancer Institute [NCI] (2010). Surveillance Epidemiology and End Results Stat Fact Sheets: Cancer of the Colon and Rectum. Retrieved September 14, 2010, from http://seer.cancer.gov/statfacts/html/colorect.html
18. National Cancer Institute [NCI] (2010a). Surveillance Epidemiology and End Results Stat Fact Sheet: Breast Cancer. Retrieved September 14, 2010, from http://seer.cancer.gov/statfacts/html/breast.html
19. National Cancer Institute [NCI] (2010b). Surveillance Epidemiology and End Results Stat Fact Sheet: Cervical Cancer. Retrieved September 14, 2010, from http://seer.cancer.gov/statfacts/html/cervix.html
20. Nelson, H. D., Tyne, K., Naik, A., Bougatsos, C., Chan, B., Nygren, P., et al. (2009). Screening for breast cancer: an update for the U.S. Preventive Services Task Force. Annals of Internal Medicine, 151(10), 727-37.
21. Office of the Surgeon General. (2004). Bone Health and Osteoporosis: A Report of the Surgeon General. Retrieved March 16, 2009, from http://www.surgeongeneral.gov/library/bonehealth/content.html.
22. Pham, H. H., Schrag, D., Hargraves, J. L., & Bach, P. B. (2005). Delivery of preventive services to older adults by primary care physicians. Journal of the American Medical Association, 294(4), 473-481. PubMed http://dx.doi.org/10.1001/jama.294.4.473
23. Rizzo, J. A. (2005). Are HMOs bad for health maintenance? Health Economics, 14(11), 1117-1131. PubMed http://dx.doi.org/10.1002/hec.993
24. SAS Institute Inc (2002). SAS. Cary, NC.
25. Smith-Bindman, R., Quale, C., Chu, P. W., Rosenberg, R., & Kerlikowske, K. (2006). Can Medicare billing claims data be used to assess mammography utilization among women ages 65 and older? Medical Care, 44(5), 463-470. PubMed http://dx.doi.org/10.1097/01.mlr.0000207436.07513.79
26. Solanki, G., & Schauffler, H. H. (1999). Cost-sharing and the utilization of clinical preventive services. American Journal of Preventive Medicine, 17(2), 127-133. PubMed http://dx.doi.org/10.1016/S0749-3797(99)00057-4
27. Solanki, G., Schauffler, H. H., & Miller, L. S. (2000). The direct and indirect effects of cost-sharing on the use of preventive services. Health Services Research, 34(6), 1331-1350. PubMed
28. StataCorp (2007). Stata statistical software: Release 9.1. College Station, TX.
29. Trivedi, A. N., Rakowski, W., & Ayanian, J. Z. (2008). Effect of cost sharing on screening mammography in Medicare health plans. The New England Journal of Medicine, 358(4), 375-383. PubMed http://dx.doi.org/10.1056/NEJMsa070929
30. Watson, M., Saraiya, M., & Wu, X. (2009). Update of HPV-associated female genital cancers in the United States, 1999-2004. Journal of Women's Health, 18(11), 1731-1738. PubMed http://dx.doi.org/10.1089/jwh.2009.1570