Table 2.
Cancer and Cardiovascular Disease Screening Utilization Before and After Massachusetts Healthcare Reform Among Women's Health Network Participants
| All WHN participantsn=1,201 | Transitioned to Commonwealth Care postreformn=479 | Eligible for Health Safety Net postreformn=372 | Transitioned to Medicaid postreformn=101 | Transitioned to private coverage postreformn=100 | Transitioned to Medicare postreformn=64 | Lost to follow-up postreformn=85 | |
|---|---|---|---|---|---|---|---|
| Had a mammogram within 2 years | |||||||
| Prereform | 1,035 (86) | 409 (85) | 337 (91) | 82 (81) | 83 (83) | 55 (86) | 69 (81) |
| Postreform | 915 (88) | 410 (90) | 311 (92) | 73 (75) | 72 (80) | 49 (79) | — |
| Had a Pap smear within 3 years | |||||||
| Prereform | 865 (88) | 345 (88) | 279 (89) | 70 (85) | 75 (93) | 39 (85) | 57 (84) |
| Postreform | 771 (89) | 343 (91) | 273 (94) | 62 (82) | 63 (80) | 30 (64) | — |
| Had blood pressure checked within 2 years | |||||||
| Prereform | 1,041 (87) | 418 (87) | 327 (88) | 91 (90) | 90 (90) | 56 (88) | 59 (69) |
| Postreform | 945 (91) | 380 (89) | 325 (92) | 90 (93) | 89 (93) | 61 (97) | — |
| Women with hypertension who had blood pressure checked within 2 years | |||||||
| Prereform | 304 (93) | 130 (92) | 61 (95) | 41 (98) | 31 (91) | 35 (90) | 6 (100) |
| Postreform | 296 (94) | 134 (96) | 56 (89) | 38 (93) | 30 (94) | 38 (97) | — |
All participants had screening test covered through the Women's Health Network prior to the passage of the 2006 Massachusetts healthcare reform law (“prereform”). After passage of the 2006 law (“postreform”), study participants transitioned to insurance to pay for screening tests.