Association of Medicaid expansion and insurance status, cancer stage, treatment and mortality among patients with cervical cancer.

ABSTRACT:

Background

Currently, little is known about the effect of the Patient Protection and Affordable Care Act's Medicaid expansion on care delivery and outcomes in cervical cancer.

Aim

We evaluated whether Medicaid expansion was associated with changes in insurance status, stage at diagnosis, timely treatment, and survival outcomes in cervical cancer.

Methods and results

Using the National Cancer Database, we performed a difference-in-differences (DID) cross-sectional analysis to compare insurance status, stage at diagnosis, timely treatment, and survival outcomes among cervical cancer patients residing in Medicaid expansion and nonexpansion states before (2011-2013) and after (2014-2015) Medicaid expansion. January 1, 2014 was used as the timepoint for Medicaid expansion.

SUBMITTER: Lee G 

PROVIDER: S-EPMC8714536 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature