High Deductible Health Plans and Receipt of Cancer Prevention Services

The overall objective of this study is to examine the influence of enrollment into high deductible health plans on likelihood of being up-to-date on cancer screening and prevention services (screening mammograms, Pap tests, and HPV vaccinations) compared to enrollment in traditional HMO plans among age-eligible women. Analysis uses a quasi-experimental design in which age-eligible women enrolled in a high deductible plan are propensity score matched with age-eligible women enrolled in a traditional HMO plan. The overall working hypothesis is that enrollment in a high deductible plan will decrease the likelihood of being up-to-date on one or more of these services either directly or indirectly as a consequence of the higher levels of patient cost-sharing compared to traditional HMO plans. Two Kaiser Permanente (KP) regions -- KP Colorado and KP Georgia -- are participating in the study. The study covers the period 2000-2007 for screening mammogram and Pap tests and 2006-2009 for HPV vaccinations.

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