Xuesong Han|K. Robin Yabroff|Gery P. Guy|Zhiyuan Zheng|Ahmedin Jemal
Has recommended preventive service use increased after elimination of cost-sharing as part of the Affordable Care Act in the United States?
American Cancer Society|National Cancer Institute|National Center for Chronic Disease Prevention and Health Promotion|Centers for Disease Control and Prevention|American Cancer Society|American Cancer Society
early provision affordable care act aca eliminated costsharing range recommended preventive services provision took effect september 2010 little known effect preventive service usewe evaluated changes use recommended preventive services 2009 implementation aca costsharing provision 20112012 implementation medical expenditure panel survey nationally representative household interview survey us specifically examined blood pressure check cholesterol check flu vaccination cervical breast colorectal cancer screening controlling demographic characteristics stratifying insurance typethere 64280 21310 42970 implementation aca costsharing provision adults included analyses receipt recent blood pressure check cholesterol check flu vaccination increased significantly 2009 20112012 primarily privately insured population aged 1864years adjusted prevalence ratios 95 confidence intervals 103 101105 blood pressure check 113 109118 cholesterol check 104 100108 flu vaccination pvalues005 however changes observed cancer screening observed little change uninsured populationthese early observations suggest positive benefits aca policy eliminating costsharing preventive services future research warranted monitor evaluate longer term effects aca access care health outcomes