Impact of the Affordable Care Act on Colorectal Cancer Outcomes: A Systematic Review.

ABSTRACT:

Context

The Patient Protection and Affordable Care Act increases healthcare access and includes provisions that directly impact access to and cost of evidence-based colorectal cancer screening. The Affordable Care Act's removal of cost sharing for colorectal cancer screening as well as Medicaid expansion have been hypothesized to increase screening and improve other health outcomes. However, since its passage in 2010, there is little consensus on the Affordable Care Act's impact.

Evidence acquisition

Data from March 2010 to June 2019 were reviewed and 21 relevant studies were identified; 19 studies examined colorectal cancer screening with most finding increased screening rates.

Evidence synthesis

Eleven studies found significant increases, 5 found nonsignificant incr

SUBMITTER: Xu MR 

PROVIDER: S-EPMC7175922 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature