The Impact of Medicaid Expansion on Patients with Cancer in the United States: A Review

被引:9
|
作者
Hotca, Alexandra [1 ]
Bloom, Julie R. [1 ]
Runnels, Juliana [1 ]
Salgado, Lucas Resende [1 ]
Cherry, Daniel R. [1 ]
Hsieh, Kristin [1 ]
Sindhu, Kunal K. [1 ]
机构
[1] Icahn Sch Med Mt Sinai, Dept Radiat Oncol, New York, NY 10029 USA
关键词
Medicaid expansion; cancer patients; AFFORDABLE CARE ACT; HEALTH-INSURANCE; ASSOCIATION; DIAGNOSIS; COVERAGE; DISPARITIES; STAGE;
D O I
10.3390/curroncol30070469
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Since 2014, American states have had the option to expand their Medicaid programs as part of the Affordable Care Act (ACA), which was signed into law by former President Barack H. Obama in 2010. Emerging research has found that Medicaid expansion has had a significant impact on patients with cancer, who often face significant financial barriers to receiving the care they need. In this review, we aim to provide a comprehensive examination of the research conducted thus far on the impact of Medicaid expansion on patients with cancer. We begin with a discussion of the history of Medicaid expansion and the key features of the ACA that facilitated it. We then review the literature, analyzing studies that have investigated the impact of Medicaid expansion on cancer patients in terms of access to care, quality of care, and health outcomes. Our findings suggest that Medicaid expansion has had a positive impact on patients with cancer in a number of ways. Patients in expansion states are more likely to receive timely cancer screening and diagnoses, and are more likely to receive appropriate cancer-directed treatment. Additionally, Medicaid expansion has been associated with improvements in cancer-related health outcomes, including improved survival rates. However, limitations and gaps in the current research on the impact of Medicaid expansion on patients with cancer exist, including a lack of long-term data on health outcomes. Additionally, further research is needed to better understand the mechanisms through which Medicaid expansion impacts cancer care.
引用
收藏
页码:6362 / 6373
页数:12
相关论文
共 50 条
  • [1] Evaluating Medicaid expansion benefits for patients with cancer: National Cancer Database analysis and systematic review
    Nathan, Neal H.
    Bakhsheshian, Joshua
    Ding, Li
    Mack, William J.
    Attenello, Frank J.
    JOURNAL OF CANCER POLICY, 2021, 29
  • [2] Impact of Medicaid Expansion on Rhinologic Cancer Presentation, Treatment, and Outcomes
    Irace, Alexandria L.
    Sharma, Rahul K.
    Smith, Timothy L.
    Stewart, Michael G.
    Gudis, David A.
    LARYNGOSCOPE, 2023, 133 (01) : 43 - 50
  • [3] The early impact of medicaid expansion on urologic malignancies in the United States
    Meng, Xiaosong
    Vazquez, Louis
    Howard, Jeffrey M.
    Kenigsberg, Alexander P.
    Singla, Nirmish
    Margulis, Vitaly
    Bagrodia, Aditya
    Lotan, Yair
    Xi, Yin
    Woldu, Solomon L.
    UROLOGIC ONCOLOGY-SEMINARS AND ORIGINAL INVESTIGATIONS, 2022, 40 (03) : 103.e1 - 103.e8
  • [4] National trends in the management of low-risk prostate cancer: analyzing the impact of Medicaid expansion in the United States
    Chipollini, Juan
    Pollock, Grant R.
    INTERNATIONAL UROLOGY AND NEPHROLOGY, 2020, 52 (09) : 1611 - 1615
  • [5] Medicaid Expansion and Breast Cancer Screening in Appalachia and Non-Appalachia, United States, BRFSS 2003 to 2015
    Valvi, Nimish
    Vin-Raviv, Neomi
    Akinyemiju, Tomi
    CANCER CONTROL, 2019, 26 (01)
  • [6] Data on burden of comorbidities in the united states and medicaid expansion status
    Akinyemiju, Tomi
    Moore, Justin Xavier
    DATA IN BRIEF, 2016, 8 : 120 - 122
  • [7] Understanding the Implications of Medicaid Expansion for Cancer Care in the US A Review
    Ermer, Theresa
    Walters, Samantha L.
    Canavan, Maureen E.
    Salazar, Michelle C.
    Li, Andrew X.
    Doonan, Michael
    Boffa, Daniel J.
    JAMA ONCOLOGY, 2022, 8 (01) : 139 - 148
  • [8] Accounting for Medicaid expansion and regional policy and programs to advance equity in cancer prevention in the United States
    Eom, Kirsten Y.
    Koroukian, Siran M.
    Dong, Weichuan
    Kim, Uriel
    Rose, Johnie
    Albert, Jeffrey M.
    Zanotti, Kristine M.
    Owusu, Cynthia
    Cooper, Gregory
    Tsui, Jennifer
    CANCER, 2023, 129 (24) : 3915 - 3927
  • [9] The Impact of Medicaid Expansion for Adults Under the Affordable Care Act on Preventive Care for Children Evidence From the Southern United States
    Roy, Shreya
    Wilson, Fernando A.
    Chen, Li-Wu
    Kim, Jungyoon
    Yu, Fang
    MEDICAL CARE, 2020, 58 (11) : 945 - 951
  • [10] National trends in the management of low-risk prostate cancer: analyzing the impact of Medicaid expansion in the United States
    Juan Chipollini
    Grant R. Pollock
    International Urology and Nephrology, 2020, 52 : 1611 - 1615