Impact of Medicaid Expansion Under the Affordable Care Act on Receipt of Surgery for Breast Cancer.

ABSTRACT: To determine whether Medicaid expansion under the 2010 Affordable Care Act affected rates of breast cancer surgery.

Background

Data regarding the impact of Medicaid expansion on access to surgical treatment of breast cancer are limited.

Methods

Patients in the National Cancer Database diagnosed with non-metastatic breast cancer between January 1, 2010 and December 31, 2017 and residing in a state that expanded Medicaid in January 2014 or in a state that opted out of expansion were included. A quasi-experimental, difference-in-differences (DID) approach was used to assess rate of omission of surgical treatment.

Results

Of 624,237 patients diagnosed with invasive breast cancer, 24,728 (4%) patients did not undergo surgical treatment. Overall, no significant differences i

SUBMITTER: Elmore LC 

PROVIDER: S-EPMC9508982 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature