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Correspondence
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Volume 358:2411-2412 May 29, 2008 Number 22
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Effect of Cost Sharing on Screening Mammography

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by Bach, P. B.
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by Trivedi, A. N.
-PubMed Citation
To the Editor: The study of cost sharing on mammography by Trivedi et al. (Jan. 26 issue)1 and the editorial by Bach2 may lead policymakers to favor value-based insurance over high-deductible health plans. Following the principles of value-based insurance to their logical end, Americans might consider health insurance that imposes no cost sharing whatsoever for cost-effective health care while excluding unproved technologies from coverage. Such insurance does exist — the National Health Service in the United Kingdom and Medicare in Canada are two examples.

The hypothetical paradox described by Bach, in which a value-based insurance plan might encourage the use . . . [Full Text of this Article]



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