Effectiveness of Medicare cost-sharing elimination for Cancer screening on utilization

Xu, Wendy Yi; Wickizer, Thomas M.; Jung, Jeah Kyoungrae

doi:10.1186/s12913-019-4135-9

BMC Health Services Research

Table 3 Effects of Cost-sharing Removal on Different Population Groups £. (Odds Ratio, Confidence Interval, P-value)

From: Effectiveness of Medicare cost-sharing elimination for Cancer screening on utilization

Subsample Groups		Annual Mammogram (Women > = 40)			Biennial Pap Smear (All women)			Colonoscopy (All men and women > = 50)
Subsample Groups		Odds Ratio	95% CI	P-value	Odds Ratio	95% CI	P-value	Odds Ratio	95% CI	P-value
Not having private supplemental coverage	Transition	0.88	0.58–1.33	0.54	0.86	0.38–1.94	0.72	0.76	0.43–1.36	0.36
	Post-Policy	0.99	0.53–1.82	0.97	0.60	0.18–1.94	0.39	0.98	0.44–2.17	0.97
		(N = 2993)			(N = 1146)			(N = 6669)
Income groups
High income	Transition	1.14	0.90–1.45	0.29	0.68	0.46–1.00	0.05	1.09	0.80–1.47	0.59
	Post-Policy	1.34	0.94–1.92	0.10	0.48	0.26–0.87	0.02	1.12	0.72–1.74	0.61
	Post-Policy	(N = 5079)			(N = 2413)			(N = 12,315)
Mid income	Transition	1.12	0.90–1.38	0.31	1.13	0.77–1.66	0.53	1.16	0.88–1.53	0.30
	Post-Policy	1.11	0.81–1.53	0.52	1.12	0.60–2.10	0.72	1.04	0.69–1.59	0.84
	Post-Policy	(N = 7090)			(N = 2898)			(N = 14,670)
Near poor	Transition	0.99	0.77–1.29	0.97	0.81	0.45–1.46	0.48	1.30	0.84–2.03	0.24
	Post-Policy	0.95	0.64–1.42	0.81	0.72	0.29–1.79	0.48	1.67	0.90–3.10	0.10
	Post-Policy	(N = 5503)			(N = 2071)			(N = 9091)
Poor	Transition	0.42	0.25–0.73	0.00	1.20	0.34–4.28	0.78	0.29	0.12–0.68	0.01
	Post-Policy	0.50	0.21–1.21	0.13	1.02	0.15–7.14	0.98	0.26	0.07–0.97	0.04
	Post-Policy	(N = 1364)			(N = 553)			(N = 2150)
Education groups
College	Transition	1.10	0.90–1.34	0.36	0.77	0.56–1.05	0.10	1.17	0.90–1.52	0.25
	Post-Policy	1.26	0.94–1.70	0.12	0.73	0.44–1.19	0.20	1.18	0.79–1.75	0.41
	Post-Policy	(N = 7517)			(N = 3286)			(N = 16,467)
High school	Transition	0.97	0.81–1.15	0.70	1.00	0.72–1.40	1.00	1.01	0.78–1.32	0.93
	Post-Policy	0.91	0.70–1.19	0.51	0.72	0.42–1.22	0.22	1.05	0.72–1.52	0.82
	Post-Policy	(N = 10,336)			(N = 4172)			(N = 18,988)
Less than high school	Transition	1.50	0.78–2.89	0.22	1.19	0.34–4.20	0.78	0.93	0.44–1.97	0.85
	Post-Policy	1.72	0.60–4.92	0.32	1.18	0.16–8.83	0.87	0.71	0.23–2.24	0.56
	Post-Policy	(N = 1183)			(N = 477)			(N = 2771)
Race/Ethnicity groups
Non-Hispanic White	Transition	1.03	0.90–1.18	0.63	0.83	0.66–1.06	0.13	1.11	0.91–1.35	0.30
	Post-Policy	1.09	0.89–1.34	0.41	0.75	0.51–1.09	0.13	1.10	0.83–1.47	0.50
	Post-Policy	(N = 16,085)			(N = 6768)			(N = 32,464)
Non-Hispanic Black	Transition	1.10	0.64–1.88	0.73	1.96	0.64–6.07	0.24	1.14	0.58–2.22	0.70
	Post-Policy	1.18	0.57–2.48	0.65	1.11	0.20–6.26	0.90	1.26	0.46–3.45	0.65
	Post-Policy	(N = 1427)			(N = 514)			(N = 2547)
Non-Hispanic Other	Transition	1.39	0.68–2.86	0.37	2.37	0.58–9.66	0.23	0.38	0.13–1.13	0.08
	Post-Policy	2.53	0.87–7.31	0.09	0.86	0.12–6.03	0.88	0.47	0.11–1.99	0.31
	Post-Policy	(N = 665)			(N = 301)			(N = 1367)
Hispanic	Transition	0.83	0.42–1.64	0.59	0.33	0.11–0.98	0.05	0.76	0.31–1.86	0.55
	Post-Policy	0.52	0.19–1.42	0.20	0.18	0.03–1.00	0.05	0.45	0.11–1.87	0.27
	Post-Policy	(N = 859)			(N = 352)			(N = 1848)

£: The statistics in each cell of this table represent a separate regression analysis in similar fashion of the main analysis, controlled for covariates

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