The Impact of Near‐Universal Insurance Coverage on Breast and Cervical Cancer Screening: Evidence from Massachusetts
- 18 February 2015
- journal article
- research article
- Published by Wiley in Health Economics
- Vol. 25 (4), 391-407
- https://doi.org/10.1002/hec.3159
Abstract
This paper investigates the effect of expansion to near‐universal health insurance coverage in Massachusetts on breast and cervical cancer screening. We use data from 2002 to 2010 to compare changes in receipt of mammograms and Pap tests in Massachusetts relative to other New England states. We also consider the effect specifically among low‐income women. We find positive effects of Massachusetts health reform on cancer screening, suggesting a 4 to 5% increase in mammograms and 6 to 7% increase in Pap tests annually. Increases in both breast and cervical cancer screening are larger 3 years after the implementation of reform than in the year immediately following, suggesting that there may be an adjustment or learning period. Low‐income women experience greater increases in breast and cervical cancer screening than the overall population; among women with household income less than 250% of the federal poverty level, mammograms increase by approximately 8% and Pap tests by 9%. Overall, Massachusetts health reform appears to have increased breast and cervical cancer screening, particularly among low‐income women. Our results suggest that reform was successful in promoting preventive care among targeted populations. Copyright © 2015 John Wiley & Sons, Ltd.Keywords
Funding Information
- National Institutes of Health ((R01CA178980)
- National Cancer Institute and the Office of Behavioral and Social Sciences Research)
- National Cancer Institute ((R25CA093423))
This publication has 32 references indexed in Scilit:
- The impact of health care reform on hospital and preventive care: Evidence from MassachusettsJournal of Public Economics, 2012
- The effect of insurance on emergency room visits: An analysis of the 2006 Massachusetts health reformJournal of Public Economics, 2012
- The Oregon Health Insurance Experiment: Evidence from the First Year*The Quarterly Journal of Economics, 2012
- Economic Burden of Cancer in the United States: Estimates, Projections, and Future ResearchCancer Epidemiology, Biomarkers & Prevention, 2011
- Projections of the Cost of Cancer Care in the United States: 2010-2020JNCI Journal of the National Cancer Institute, 2011
- Massachusetts Health Reform and Disparities in Coverage, Access and Health StatusJournal of General Internal Medicine, 2010
- Sustaining Health Reform In A Recession: An Update On Massachusetts As Of Fall 2009Health Affairs, 2010
- Meeting the cervical cancer screening needs of underserved women: The National Breast and Cervical Cancer Early Detection Program, 2004–2006Cancer Causes & Control, 2010
- Massachusetts Health Reform: Employer Coverage From Employees' PerspectiveHealth Affairs, 2009
- Massachusetts Health Care Reform: The View From One Year OutRisk Management and Insurance Review, 2008