Lessons from State Mandates of Preventive Cancer Screenings

Details

• Personal Author:
  Abraham J ; Dowd B ; Xu WY
• Description:
  We use the 1997-2008 Medical Expenditure Panel Survey (MEPS) and variation in the timing of state mandates for coverage of colorectal, cervical, and prostate cancer screenings to investigate the behavioral and financial effects of mandates on privately insured adults. We find that state mandates did not result in increased rates of cancer screening. However, coverage of preventive care, whether mandated or not, moves the cost of care from the consumer's out-of-pocket expense to the premium, resulting in a cross-subsidy of users of the service by non-users. While some cross-subsidies are intentional, others may be unintentional. We find that users of cancer screening have higher levels of income and education, while non-users tend to be racial minorities, lack a usual source of care, and live in communities with fewer physicians per capita. These results suggest that coverage of preventive care may transfer resources from more advantaged individuals to less advantaged individuals. Description provided by NIOSH
• Subjects:
  • Delivery of Health Care
  • Economics
  • Healthcare Disparities
  • Occupational Health
  • Preventive Medicine
  • Safety
• Keywords:
  • Medical care
  • Health care
  • Preventive medicine
  • Medical screening
  • Economic analysis
  • Health disparities
  • Policy
  • Author Keywords: Health insurance regulations
  • Mandated benefits
  • Redistributive effects
  More +
• ISSN:
  1618-7598
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Minnesota ; Ohio ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  203-215
• Volume:
  17
• Issue:
  2
• NIOSHTIC Number:
  nn:20064262
• Citation:
  Eur J Health Econ 2016 Mar; 17(2):203-215
• Contact Point Address:
  W. Y. Xu, Division of Health Services Management and Policy, College of Public Health, The Ohio State University, Columbus, OH, USA
• Email:
  xu.1636@osu.edu
• Federal Fiscal Year:
  2016
• Performing Organization:
  University of Minnesota Twin Cities
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  The European Journal of Health Economics
• End Date:
  20250630
• Download URL:
  https://stacks.cdc.gov/view/cdc/222761/cdc_222761_DS1.pdf
• File Type:
  [PDF - 539.50 KB]
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:0df4bbfdcf9659c27406d170cace6d55f11f5a99497a0d1d5cf1a6d01bf2af86a215c55955c59e5883ef4c1e3829d6dc15ee1f01fb2f0b7340cbc51abb7c6795