Blue Cross Blue Shild Health
The team compared the rates of biennial breast cancer screening within plans requiring co-payments with screening rates for plans with full coverage. They also analyzed data from plans that introduced co-payments over the three-year study period in order to study how mammography rates would change compared to rates in plans without co-payments.
Trivedi and his team found that:
biennial breast cancer screening rates were 8 to 11 percent lower in cost-sharing plans – a difference that persisted even when adjusting for possible differences due to income, education, race and other factors; from 2002 to 2004, screening rates decreased by 6 percent in plans that introduced co-payments while screening rates increased by 3 percent in matched control plans that retained full coverage;
the number of plans with cost sharing for mammography grew from three to 21 between 2001 and 2004, affecting .5 percent of women in 2001 and 11 percent of women by
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