Association Between Medicaid Expansion and Diagnosis and Management of Colon Cancer.

ABSTRACT:

Background

The Affordable Care Act facilitated improved insurance coverage for states that expanded Medicaid coverage, but the impact on cancer outcomes is unclear. This study compared changes in the diagnosis and management of colon cancer in states that did and did not participate in Medicaid expansion.

Study design

Using a quasi-experimental difference-in-differences (DID) approach, we analyzed Medicaid and uninsured patients in the National Cancer Data Base during 2 time periods: pre (2011-2012) and post expansion (2015-2016). Patients in non-expansion states were compared with those in January 2014 expansion states with regard to changes in patient and facility characteristics, cancer staging, treatment decisions, and surgical outcomes.

Results

Along with increas

SUBMITTER: Hoehn RS 

PROVIDER: S-EPMC7895308 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature