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.
Bitler, Marianne P., and Christopher S. Carpenter.
"Health Insurance Mandates, Mammography, and Breast Cancer Diagnoses."
American Economic Journal: Economic Policy,
Insurance; Insurance Companies; Actuarial Studies
National Government Expenditures and Health
State and Local Government: Health; Education; Welfare; Public Pensions
Health Insurance, Public and Private
Economics of Gender; Non-labor Discrimination