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

被引:15
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
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