Association between Medicaid Expansion and 5-Year Survival among Individuals Diagnosed with Cancer.

ABSTRACT: Medicaid expansion is associated with improvements in access to early detection and treatment services, and 2-year overall survival (OS) among individuals with cancer. However, the association with improvements in longer-term survival remains understudied. A difference-in-differences (DD) approach was used to examine changes in 5-year cause-specific survival and OS following Medicaid expansion. A total of 1,423,983 cancer cases diagnosed between 2007 and 2008 and 2014 and 2015 among adults 18 to 59 years of age residing in 26 expansion and 12 non-expansion states were included. Improvements in cause-specific survival were significantly greater in expansion states among individuals residing in rural [DD: 2.55 percentage point (ppt); 95% confidence interval (CI), 0.23-4.86] and high-poverty

SUBMITTER: Schafer EJ 

PROVIDER: S-EPMC12628320 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature