Replication data for: Manuscript Health Insurance Mandates, Mammography, and Breast Cancer Diagnoses

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.

本研究考察了州级健康保险强制承保乳腺钼靶筛查的政策效应。研究证实，乳腺钼靶筛查强制政策使该筛查服务的使用率显著提升4.5%至25%。在州内禁止设置免赔额的地区中，未完成高中学业的女性群体受该政策的影响更为显著；此类政策与联邦医疗改革中取消预防性医疗服务费用分担的条款具有相似性。此外，研究发现该强制承保政策提升了早期原位癌前病变的检出率。最后，研究显示，新增的乳腺钼靶筛查中有相当大的比例可归因于与2014年美国癌症协会（American Cancer Society）推荐意见不符的强制承保政策。