Impact of the Affordable Care Act (ACA) Medicaid Expansion on Cancer Admissions and Surgeries.

ABSTRACT:

Objective

This study aims to evaluate the trends in cancer (CA) admissions and surgeries after the Affordable Care Act (ACA) Medicaid expansion.

Methods

This is a retrospective study using HCUP-SID analyzing inpatient CA (pancreas, esophagus, lung, bladder, breast, colorectal, prostate, and gastric) admissions and surgeries pre- (2010-2013) and post- (2014) Medicaid expansion. Surgery was defined as observed resection rate per 100 cancer admissions. Nonexpansion (FL) and expansion states (IA, MD, and NY) were compared. A generalized linear model with a Poisson distribution and logistic regression was used with incidence rate ratios (IRR) and difference-in-differences (DID).

Results

There were 317, 858 patients in our sample which included those with private insurance,

SUBMITTER: Eguia E 

PROVIDER: S-EPMC6675622 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature