2015
DOI: 10.1007/s10552-015-0560-1
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Enhancing screening and early detection among women transitioning to Medicare from the NBCCEDP in Georgia

Abstract: Purpose The National Breast and Cervical Cancer Early Detection Program through each state's administration serves millions of low-income and uninsured women aged 40–64. Our purpose was to assess whether cases screened through Georgia's Breast and Cervical Cancer Program (BCCP) were diagnosed at an earlier stage of disease and whether those who used the state's program regularly continued to obtain age-appropriate screens as they aged out of BCCP into Medicare between 2000 and 2005. Methods We used BCCP scre… Show more

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Cited by 4 publications
(4 citation statements)
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References 15 publications
(16 reference statements)
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“…In this same study by Adams et al [27], women who had participated in the Georgia Breast and Cervical Cancer Program were more likely to be rescreened by mammography after enrollment in Medicare than non-participants. In addition, a larger percentage of the breast cancers detected among previous program participants were diagnosed at in situ or localized disease stage compared to all breast cancer cases reported to the Georgia cancer registry.…”
Section: Cancer Screening For Underserved Women After Age 64mentioning
confidence: 90%
See 1 more Smart Citation
“…In this same study by Adams et al [27], women who had participated in the Georgia Breast and Cervical Cancer Program were more likely to be rescreened by mammography after enrollment in Medicare than non-participants. In addition, a larger percentage of the breast cancers detected among previous program participants were diagnosed at in situ or localized disease stage compared to all breast cancer cases reported to the Georgia cancer registry.…”
Section: Cancer Screening For Underserved Women After Age 64mentioning
confidence: 90%
“…Some women may remain underinsured because they cannot afford the premiums for Medicare Part B or the premiums for supplemental insurance to cover the significant cost sharing involved with traditional fee-for-service Medicare. Adams et al [27] examined women who recently had become eligible for Medicare in Georgia. These women were far less likely to receive a mammogram within 18 months of enrollment if they had non-continuous Medicare Part B coverage or only Medicare Part A.…”
Section: Cancer Screening For Underserved Women After Age 64mentioning
confidence: 99%
“…We did not compare mammography use with changes in other cancer screening tests recommended in this age group (eg, colorectal cancer screening) because this screening was also subject to changes in Medicare cost sharing during this time. 7,24 We did not separately examine women with Medicare Part A only who may be less likely to receive mammography, 39 because there were <30 such women for each year. Second, elimination of cost sharing for some Medicare Advantage plans may not have occurred until 2012 27 potentially biasing findings toward the null.…”
Section: Discussionmentioning
confidence: 99%
“…Adams et al [16] assess breast cancer screening and incidence patterns to identify women in Georgia who are repeat users of NBCCEDP services and to observe screening patterns as these women become eligible for and transition to Medicare. This article provides important insight into the role of targeted outreach and education provided through the NBCCEDP in sustaining high levels of regular and timely screening as women age out of the NBCCEDP and become eligible for Medicare.…”
mentioning
confidence: 99%