Medicaid expansion and 2-year survival in women with gynecologic cancer: a difference-in-difference analysis.

ABSTRACT:

Background

The Affordable Care Act implemented optional Medicaid expansion starting in 2014, but the association between Medicaid expansion and gynecologic cancer survival is unknown.

Objective

To evaluate the impact of Medicaid expansion by comparing 2-year survival among gynecologic cancers before and after 2014 in states that did and did not expand Medicaid using a difference-in-difference analysis.

Study design

We searched the National Cancer Database for women aged 40 to 64 years, diagnosed with a primary gynecologic malignancy (endometrial, ovarian, cervical, vulvar, and vaginal) between 2010 and 2016. We used a quasiexperimental difference-in-difference multivariable Cox regression analysis to compare 2-year survival between states that expanded Medicaid in Jan

SUBMITTER: Huepenbecker SP 

PROVIDER: S-EPMC9420833 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature