The impact of cost sharing on women's use of annual examinations and effective contraception

American Journal of Obstetrics and Gynecology
Vanessa K DaltonA Mark Fendrick

Abstract

We sought to describe the relationship between the elimination of out-of-pocket costs and women's use of preventive care office visits and long-acting reversible contraception after accounting for baseline levels of cost sharing. The objective of this analysis was to describe the relationship between the elimination of out-of-pocket costs and utilization of preventive care visits and long-acting reversible contraception insertion while taking baseline cost sharing levels under consideration. In 2017, we used administrative health plan data to examine changes in out-of-pocket costs and service utilization among 2,172,065 women enrolled in 15,118 employer-based health plans between 2008 and 2015. We used generalized estimating equations to examine utilization patterns. Women in this sample generally had low costs at baseline ($24 and $29 for preventive care visits and long-acting reversible contraception insertion, respectively). The elimination of baseline out-of-pocket costs were related to changes in the utilization of both services but more consistently for contraceptive device placement. Women whose low/moderate out-of-pocket costs were eliminated were more likely to use a preventive care office visit than women with persist...Continue Reading

Citations

Sep 9, 2020·American Journal of Obstetrics and Gynecology·Michelle H MonizVanessa K Dalton
Jan 11, 2021·American Journal of Epidemiology·Claire E MargerisonColleen MacCallum-Bridges
Jul 22, 2021·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Michelle H MonizElizabeth E Krans

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