Utilization of Screening Mammograms in the Medicare Population Before and After the Affordable Care Act Implementation

Objective: This study examined screening mammograms in women aged 65 to 74 years and 75+ years before and after the Affordable Care Act (ACA) implementation. Method: This repeated cross-sectional study of community-dwelling women age 65+ years without a history of breast cancer or mastectomy utilize...

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Bibliographic Details
Published in:Journal of aging and health Vol. 32; no. 1; pp. 25 - 32
Main Authors: Bozzi, Laura M., Stuart, Bruce, Onukwugha, Eberechukwu, Tom, Sarah E.
Format: Journal Article
Language:English
Published: Los Angeles, CA SAGE Publications 01.01.2020
SAGE PUBLICATIONS, INC
Subjects:
Advisory Committees - legislation & jurisprudence
Aged
Aged, 80 and over
Breast cancer
Cross-Sectional Studies
Female
Guidelines as Topic
Humans
Mammography
Mammography - statistics & numerical data
Mammography - trends
Mass Screening - statistics & numerical data
Mass Screening - trends
Medicare
Patient Acceptance of Health Care - statistics & numerical data
Patient Protection & Affordable Care Act 2010-US
Patient Protection and Affordable Care Act
United States
United States
women’s health
screening mammograms
Medicare
Patient Protection and Affordable Care Act
ISSN:0898-2643, 1552-6887, 1552-6887
Online Access:Get full text
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Summary:Objective: This study examined screening mammograms in women aged 65 to 74 years and 75+ years before and after the Affordable Care Act (ACA) implementation. Method: This repeated cross-sectional study of community-dwelling women age 65+ years without a history of breast cancer or mastectomy utilized the Medicare Current Beneficiary Survey and Medicare fee-for-service claims data from 2001 to 2013. We used covariate-adjusted logistic regression with generalized estimating equations, stratified by age group. Results: The adjusted odds of screening mammograms in women aged 65-74 (n = 742) and 75+ years (n = 681) were lower in 2013 (odds ratio [OR]: 0.75, 95% confidence interval [CI]: [0.67, 0.83]; OR: 0.67, 95% CI: [0.60, 0.75], respectively) than the odds of screening mammograms in 2001. Discussion: Annual screening mammograms decreased in women aged 65 to 74 years and 75+ years, despite increased access from the ACA implementation. Future research as to why women are no longer receiving screening mammograms, such as changes in physician specialty guidelines, is warranted.
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ISSN:0898-2643
1552-6887
1552-6887
DOI:10.1177/0898264318802047