Health Insurance Mandates, Mammography, and Breast Cancer Diagnoses

52 Pages Posted: 10 Jan 2011 Last revised: 17 Jan 2022

See all articles by Marianne P. Bitler

Marianne P. Bitler

University of California, Davis - Departments of Economics and Agricultural Resource Economics; National Bureau of Economic Research (NBER); IZA Institute of Labor Economics

Christopher S. Carpenter

Vanderbilt University; National Bureau of Economic Research (NBER)

Date Written: January 2011

Abstract

We examine the effects of state health insurance mandates requiring coverage of screening mammograms. We find robust 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 pre-cancers. Finally, we find a substantial proportion of the increased screenings were attributable to mandates that are not consistent with current recommendations of the American Cancer Society.

Suggested Citation

Bitler, Marianne P. and Carpenter, Christopher S., Health Insurance Mandates, Mammography, and Breast Cancer Diagnoses (January 2011). NBER Working Paper No. w16669, Available at SSRN: https://ssrn.com/abstract=1737217

Marianne P. Bitler (Contact Author)

University of California, Davis - Departments of Economics and Agricultural Resource Economics ( email )

United States

National Bureau of Economic Research (NBER) ( email )

1050 Massachusetts Avenue
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IZA Institute of Labor Economics

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Christopher S. Carpenter

Vanderbilt University ( email )

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Nashville, TN 37235
United States

HOME PAGE: http://https://sites.google.com/site/kittcarpenter/

National Bureau of Economic Research (NBER)

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