Elimination of cost-sharing and receipt of screening for XXXX .

@entity1 @entity14748 @entity0 @entity5 @entity14
BACKGROUND: The aim of the cost-sharing provision of the @entity1 Protection and Affordable Care Act (ACA) was to reduce financial barriers for preventive services, including screening for @entity14 ( @entity14 ) and @entity0 ( @entity0 ) among privately and Medicare-insured individuals. Whether the provision has affected @entity14 and @entity0 screening prevalence is unknown. The current study investigated whether @entity14 and @entity0 screening prevalence among privately and Medicare-insured adults by socioeconomic status (SES) changed before and after the ACA. METHODS: Data obtained from the National Health Interview Survey pertaining to privately and Medicare-insured adults from 2008 (before the ACA) and 2013 (after the ACA) were used. There were 15,786 adults aged 50 to 75 years in the @entity14 screening analysis and 14,530 @entity1 aged >= 40 years in the @entity0 screening analysis. Changes in guideline-recommended screening between 2008 and 2013 by SES were expressed as the @entity14748 ( @entity14748 ) and 95% confidence interval (95% CI) adjusted for demographics, insurance, income, education, body mass index, and having a usual provider. RESULTS: Overall, @entity14 screening prevalence increased from 57.3% to 61.2% between 2008 and 2013 (P<.001). Adjusted @entity14 screening prevalence during the corresponding period increased in low-income ( @entity14748 , 5.9; 95% CI, 1.8 to 10.2), least-educated ( @entity14748 , 7.2; 95% CI, 0.9 to 13.5), and Medicare-insured ( @entity14748 , 6.2; 95% CI, 1.7 to 10.7) individuals, but not in high-income, most-educated, and privately insured respondents. @entity0 screening remained unchanged overall (70.5% in 2008 vs 70.2% in 2013) and in the low SES groups. CONCLUSIONS: Increases in @entity14 screening prevalence between 2008 and 2013 were confined to respondents with low SES. These findings may in part reflect the ACA's removal of financial barriers. @entity5 2015;121:3272-3280.    2015 American @entity5 Society.
