Patterns of Coverage Gains Among Young Adult Cancer Patients Following the Affordable Care Act.

ABSTRACT: The dependent coverage expansion (DCE) and Medicaid expansions (ME) under the Affordable Care Act (ACA) may differentially affect eligibility for health insurance coverage in young adult cancer patients. Studies examining temporal patterns of coverage changes in young adults following these policies are lacking. We used data from the National Cancer Database 2003-2015 to conduct a quasi-experimental study of cancer patients ages 19-34 years, grouped as DCE-eligible (19- to 25-year-olds) and DCE-ineligible (27- to 34-year-olds). Although private insurance coverage in DCE-eligible cancer patients increased incrementally following DCE implementation (0.5 per quarter; P < .001), an immediate effect on Medicaid coverage gains was observed after ME in all young adult cancer patients (3.01

SUBMITTER: Nogueira LM 

PROVIDER: S-EPMC6649747 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature