Effect of Medicaid expansion on cancer treatment and survival among Medicaid beneficiaries and the uninsured.

ABSTRACT:

Background

The Affordable Care Act expanded Medicaid coverage for people with low income in the United States. Expanded insurance coverage could promote more timely access to cancer treatment, which could improve overall survival (OS), yet the long-term effects of Medicaid expansion (ME) remain unknown. We evaluated whether ME was associated with improved timely treatment initiation (TTI) and 3-year OS among patients with breast, cervical, colon, and lung cancers who were affected by the policy.

Methods

Medicaid-insured or uninsured patients aged 40-64 with stage I-III breast, cervical, colon, or non-small cell lung cancer within the National Cancer Database (NCDB). A difference-in-differences (DID) approach was used to compare changes in TTI (within 60 days) and 3-year OS b

SUBMITTER: Primm KM 

PROVIDER: S-EPMC11226780 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature