Health Care Reform and Women’s Insurance Coverage for Breast and Cervical Cancer Screening

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Levy, Alice R. ; Bruen, Brian K. ; Ku, Leighton
• Description:
  Introduction
  
  The Patient Protection and Affordable Care Act of 2010 (ACA) will increase insurance coverage for US citizens and for breast and cervical cancer screening through insurance expansions and regulatory changes. The primary objective of this study was to estimate the number of low-income women who would gain health insurance after implementation of the ACA and thus be able to obtain cancer screening. A secondary objective was to estimate the size and characteristics of the uninsured low-income population and the number of women who would still need National Breast and Cervical Cancer Early Detection Program (NBCCEDP) services.
  
  Methods
  
  We used the nationally representative 2009 American Community Survey to estimate the determinants of insurance status for women in Massachusetts, assuming full implementation of the ACA. We extrapolated findings to simulate the effects of the ACA on each state. We used individual-level predicted probabilities of being uninsured to generate estimates of the number of women who would gain health insurance after implementation of the ACA and to predict demand for NBCCEDP services.
  
  Results
  
  Approximately 6.8 million low-income women would gain health insurance, potentially increasing the annual demand for cancer screenings initially by about 500,000 mammograms and 1.3 million Papanicolaou tests. Despite a 60% decrease in the number of low-income uninsured women, the NBCCEDP would still serve fewer than one-third of the estimated number of women eligible for services. The NBCCEDP-eligible population would comprise a larger number of women with language and literacy-related barriers to care.
  
  Conclusion
  
  Implementation of the ACA would increase insurance coverage and access to cancer screening for millions of women, but the NBCCEDP will remain essential for the millions who will remain uninsured.
  
  
• Subjects:
  Adolescent Adult Aged Breast Neoplasms Early Detection Of Cancer Female Health Care Reform Health Services Accessibility Health Services Needs And Demand Humans Insurance Coverage Mammography Medically Uninsured Middle Aged Papanicolaou Test Patient Protection And Affordable Care Act Poverty Uterine Cervical Neoplasms Vaginal Smears

  More +
• Source:
  Prev Chronic Dis. 9.
• DOI:
  http://dx.doi.org/10.5888/pcd9.120069
• ISSN:
  1545-1151
• Pubmed ID:
  23098646
• Pubmed Central ID:
  PMC3499983
• Document Type:
  Journal Article
• Funding:
  5U50DP001863-03/DP/NCCDPHP CDC HHS/United States
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  9
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:12cd42eefe9537e4c1a0189321ae3d2b9bfbf79d8313406c63da6e3407b762cb007ba869ea56e73e2be951c8b15079452dc547c9cf26df353f81f98fc4c4a44e
• Download URL:
  https://stacks.cdc.gov/view/cdc/19763/cdc_19763_DS1.pdf
• File Type:
  [PDF - 265.87 KB ]