Association of Medicaid Expansion With Cancer Stage and Disparities in Newly Diagnosed Young Adults.

ABSTRACT:

Background

Young adults (YAs) experience higher uninsurance rates and more advanced stage at cancer diagnosis than older counterparts. We examined the association of the Affordable Care Act Medicaid expansion with insurance coverage and stage at diagnosis among YAs newly diagnosed with cancer.

Methods

Using the National Cancer Database, we identified 309 413 YAs aged 18-39 years who received a first cancer diagnosis in 2011-2016. Outcomes included percentages of YAs without health insurance at diagnosis, with stage I (early-stage) diagnoses, and with stage IV (advanced-stage) diagnoses. We conducted difference-in-difference (DD) analyses to examine outcomes before and after states implemented Medicaid expansion compared with nonexpansion states. All statistical tests were 2-

SUBMITTER: Ji X 

PROVIDER: S-EPMC9989840 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature