Association Between State Medicaid Policies and Accrual of Black or Hispanic Patients to Cancer Clinical Trials.

ABSTRACT:

Purpose

It is unknown whether Medicaid expansion under the Affordable Care Act (ACA) or state-level policies mandating Medicaid coverage of the routine costs of clinical trial participation have ameliorated longstanding racial and ethnic disparities in cancer clinical trial enrollment.

Methods

We conducted a retrospective, cross-sectional difference-in-differences analysis examining the effect of Medicaid expansion on rates of enrollment for Black or Hispanic nonelderly adults in nonobservational, US cancer clinical trials using data from Medidata's Rave platform for 2012-2019. We examined heterogeneity in this effect on the basis of whether states had pre-existing mandates requiring Medicaid coverage of the routine costs of clinical trial participation.

Results

The s

SUBMITTER: Schpero WL 

PROVIDER: S-EPMC11408099 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature