LAUSR

Key Points Question Do individuals with higher cost-sharing undergo fewer subsequent breast diagnostic tests after a screening mammogram compared with those with lower cost-sharing? Findings In this cohort study of 230 845 commercially insured women undergoing a mammogram in 2016, patients with plans with higher out-of-pocket costs underwent significantly fewer subsequent diagnostic breast procedures than patients enrolled in plans with lower out-of-pocket costs. Meaning The findings of this study suggest that out-of-pocket costs continue to be a barrier for early diagnosis of breast cancer despite the removal of cost-sharing from initial breast cancer screening examinations.