Document Type

Article

Publication Title

American Economic Journal: Economic Policy

Publication Date

8-2016

ISSN

1945-7731

Page Number

39

Keywords

health insurance, mammography, mandates, breast cancer

Disciplines

Health Law and Policy | Insurance Law | Law

Abstract

We examine the effects of state health insurance mandates requiring coverage of screening mammograms. We find evidence that mammography mandates significantly increased mammography screenings by 4.5-25 percent. Effects are larger for women with less than a high school degree in states that ban deductibles, a policy similar to a provision of federal health reform that eliminates cost-sharing for preventive care. We also find that mandates increased detection of early stage in-situ precancers. Finally, we find a substantial proportion of the increased screenings were attributable to mandates that are not consistent with 2014 recommendations of the American Cancer Society.

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