Medicaid Expansion Under the Affordable Care Act and Early Mortality Following Lung Cancer Surgery.

ABSTRACT:

Importance

Medicaid expansion under the Patient Protection and Affordable Care Act is associated with gains in health insurance coverage, earlier stage diagnosis, and improved survival among patients with cancer.

Objective

To examine the association of Medicaid expansion with changes in early mortality among adults undergoing surgical resection of non-small cell lung cancer (NSCLC), a setting in which access to care is a major determinant of survival.

Design, setting, and participants

This cohort study used the National Cancer Database to identify 14 984 adults 45 to 64 years of age who underwent surgical resection of NSCLC between 2008 and 2019. Analysis was conducted between March 28, 2021, and September 1, 2023.

Exposure

State of residence Medicaid expansion

SUBMITTER: Nogueira LM 

PROVIDER: S-EPMC10787311 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature