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- W2893845951 abstract "Background: Because cost may be a barrier to receiving mammography screening, cost sharing for “in-network” screening mammograms was eliminated in many insurance plans with implementation of the Affordable Care Act. We examined prevalence of out-of-pocket payments for screening mammography after elimination in many plans. Materials and Methods: Using 2015 National Health Interview Survey data, we examined whether women aged 50–74 years who had screening mammography within the previous year (n = 3,278) reported paying any cost for mammograms. Logistic regression models stratified by age (50–64 and 65–74 years) examined out-of-pocket payment by demographics and insurance (ages 50–64 years: private, Medicaid, other, and uninsured; ages 65–74 years: private ± Medicare, Medicare+Medicaid, Medicare Advantage, Medicare only, and other). Results: Of women aged 50–64 years, 23.5% reported payment, including 39.1% of uninsured women. Compared with that of privately insured women, payment was less likely for women with Medicaid (adjusted OR 0.17 [95% CI 0.07–0.41]) or other insurance (0.49 [0.25–0.96]) and more likely for uninsured women (1.99 [0.99–4.02]) (p < 0.001 across groups). For women aged 65–74 years, 11.9% reported payment, including 22.5% of Medicare-only beneficiaries. Compared with private ± Medicare beneficiaries, payment was less likely for Medicare+Medicaid beneficiaries (adjusted OR 0.21 [95% CI 0.06–0.73]) and more likely for Medicare-only beneficiaries (1.83 [1.01–3.32]) (p = 0.005 across groups). Conclusions: Although most women reported no payment for their most recent screening mammogram in 2015, some payment was reported by >20% of women aged 50–64 years or aged 65–74 years with Medicare only, and by almost 40% of uninsured women aged 50–64 years. Efforts are needed to understand why many women in some groups report paying out of pocket for mammograms and whether this impacts screening use." @default.
- W2893845951 created "2018-10-05" @default.
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- W2893845951 date "2019-07-01" @default.
- W2893845951 modified "2023-10-17" @default.
- W2893845951 title "Prevalence of Out-Of-Pocket Payments for Mammography Screening Among Recently Screened Women" @default.
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- W2893845951 doi "https://doi.org/10.1089/jwh.2018.6973" @default.
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