{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T04:32:42Z","timestamp":1768710762397,"version":"3.49.0"},"reference-count":51,"publisher":"Wiley","issue":"19","license":[{"start":{"date-parts":[[2014,8,25]],"date-time":"2014-08-25T00:00:00Z","timestamp":1408924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["Contract Number 200-2008-27958 Task Order 15"],"award-info":[{"award-number":["Contract Number 200-2008-27958 Task Order 15"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Although state Medicaid programs cover cancer screening, Medicaid beneficiaries are less likely to be screened for cancer and are more likely to present with tumors of an advanced stage than are those with other insurance. The current study was performed to determine whether state Medicaid eligibility and reimbursement policies affect the receipt of breast, cervical, and colon cancer screening among Medicaid beneficiaries.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Cross\u2010sectional regression analyses of 2007 Medicaid data from 46 states and the District of Columbia were performed to examine associations between state\u2010specific Medicaid reimbursement\/eligibility policies and receipt of cancer screening. The study sample included individuals aged 21 years to 64 years who were enrolled in fee\u2010for\u2010service Medicaid for at least 4 months. Subsamples eligible for each screening test were: Papanicolaou test among 2,136,511 patients, mammography among 792,470 patients, colonoscopy among 769,729 patients, and fecal occult blood test among 753,868 patients. State\u2010specific Medicaid variables included median screening test reimbursement, income\/financial asset eligibility requirements, physician copayments, and frequency of eligibility renewal.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Increases in screening test reimbursement demonstrated mixed associations (positive and negative) with the likelihood of receiving screening tests among Medicaid beneficiaries. In contrast, increased reimbursements for office visits were found to be positively associated with the odds of receiving all screening tests examined, including colonoscopy (odds ratio [OR], 1.07; 95% confidence interval [95% CI], 1.06\u20101.08), fecal occult blood test (OR, 1.09; 95% CI, 1.08\u20101.10), Papanicolaou test (OR, 1.02; 95% CI, 1.02\u20101.03), and mammography (OR, 1.02; 95% CI, 1.02\u20101.03). Effects of other state\u2010specific Medicaid policies varied across the screening tests examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Increased reimbursement for office visits was consistently associated with an increased likelihood of being screened for cancer, and may be an important policy tool for increasing screening among this vulnerable population. <jats:bold><jats:italic>Cancer<\/jats:italic> 2014;120:3016\u20133024.<\/jats:bold> \u00a9 <jats:italic>2014 American Cancer Society<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.28704","type":"journal-article","created":{"date-parts":[[2014,8,25]],"date-time":"2014-08-25T12:28:39Z","timestamp":1408969719000},"page":"3016-3024","source":"Crossref","is-referenced-by-count":46,"title":["Impact of state\u2010specific Medicaid reimbursement and eligibility policies on receipt of cancer screening"],"prefix":"10.1002","volume":"120","author":[{"given":"Michael T.","family":"Halpern","sequence":"first","affiliation":[{"name":"RTI International Washington DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa A.","family":"Romaire","sequence":"additional","affiliation":[{"name":"RTI International Research Triangle Park  North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan G.","family":"Haber","sequence":"additional","affiliation":[{"name":"RTI International Waltham Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florence K.","family":"Tangka","sequence":"additional","affiliation":[{"name":"Division of Cancer Prevention and Control US Centers for Disease Control and Prevention Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan A.","family":"Sabatino","sequence":"additional","affiliation":[{"name":"Division of Cancer Prevention and Control US Centers for Disease Control and Prevention Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David H.","family":"Howard","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management Rollins School of Public Health, Emory University Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,8,25]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"TrufferCJ KlemmJD WolfeCJ et al.2011Actuarial Report on the Financial Outlook for Medicaid. Washington DC: Office of the Actuary Centers for Medicare and Medicaid Services United States Department of Health and Human Services; 2011."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1202099"},{"key":"e_1_2_7_4_1","volume-title":"Kaiser Family Foundation. Kaiser Commission on Medicaid and the Uninsured. 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Unsettling Scores: A Ranking of State Medicaid Programs 2007.http:\/\/www.citizen.org\/documents\/2007UnsettlingScores.pdf. 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