Article: Cost sharing lowers Medicare mammogram rates.(Practice Trends)

TORONTO -- Copayments exceeding $10 or coinsurance of more than 10% is associated with lower rates of breast cancer screening, Dr. Amal Trivedi said at the annual meeting of the Society of General Internal Medicine.

Across all study years, rates of breast cancer screening were 77.5% in plans with full coverage, compared with 69.2% in plans with cost sharing.

Differences in screening rates between full coverage and cost-sharing plans ranged from 8% to 11% during each year.

The negative effect of cost sharing on mammography rates was significantly greater for enrollees residing in less-affluent and less-educated areas and for enrollees with ...

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