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When workers with employer-based insurance were switched from low-deductible to high-deductible plans, there was a significantly increase in delay to diagnosis of metastatic cancer.
Patients' out-of-pocket costs are highest for the most effective medications.
Eliminating cost-sharing for follow-up colonoscopy after a positive noninvasive test led to a boost in follow-up colonoscopies in one state but not another.
Some changes are already underway, but it will "take a village" to get to 80% screening rates, including national resources and approaches.
The Affordable Care Act made preventive healthcare free of charge to patients without cost sharing. But there is wiggle room about when a procedure was done for screening, vs for a diagnosis.