Alice R. Levy|Brian Bruen|Leighton Ku
Health Care Reform and Women’s Insurance Coverage for Breast and Cervical Cancer Screening
Lewin Group (United States)
patient protection affordable care act 2010 aca increase insurance coverage us citizens breast cervical cancer screening insurance expansions regulatory changes primary objective study estimate number lowincome women would gain health insurance implementation aca thus able obtain cancer screening secondary objective estimate size characteristics uninsured lowincome population number women would still need national breast cervical cancer early detection program nbccedp serviceswe used nationally representative 2009 american community survey estimate determinants insurance status women massachusetts assuming full implementation aca extrapolated findings simulate effects aca state used individuallevel predicted probabilities uninsured generate estimates number women would gain health insurance implementation aca predict demand nbccedp servicesapproximately 68 million lowincome women would gain health insurance potentially increasing annual demand nbccedp cancer screenings initially 500000 mammograms 13 million papanicolaou tests despite 60 decrease number lowincome uninsured women nbccedp would still serve fewer onethird estimated number women eligible services nbccedpeligible population would comprise larger number women language literacyrelated barriers careimplementation aca would increase insurance coverage access cancer screening millions women nbccedp remain essential millions remain uninsured