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] 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
  • [2] NATIONAL TRENDS IN THE MANAGEMENT OF LOW RISK PROSTATE CANCER: ANALYZING THE IMPACT OF MEDICAID EXPANSION IN THE UNITED STATES
    Pollock, Grant
    Zeng, Jiping
    Chipollini, Juan
    JOURNAL OF UROLOGY, 2020, 203 : E337 - E337
  • [3] The impact of state Medicaid expansion on patients with cervical cancer
    Gamble, C. R.
    Chen, L.
    Chapman-Davis, E.
    Wright, J. D.
    GYNECOLOGIC ONCOLOGY, 2020, 159 : 279 - 280
  • [4] Medicaid Expansion and Infant Mortality in the United States
    Bhatt, Chintan B.
    Beck-Sague, Consuelo M.
    AMERICAN JOURNAL OF PUBLIC HEALTH, 2018, 108 (04) : 565 - 567
  • [5] Impact of Medicaid Expansion on Breast Cancer Diagnosis and Treatment in Southern States
    Laughlin, Amy, I
    Li, Tingting
    Yu, Qingzhao
    Wu, Xiao-Cheng
    Yi, Yong
    Hsieh, Mei-Chin
    Havron, William
    Shoup, Margo
    Chu, Quyen D.
    JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2023, 236 (04) : 838 - 845
  • [6] Impact of the affordable care act and early Medicaid expansion on head and neck cancer mortality in the United States.
    Osazuwa-Peters, Nosayaba
    Barnes, Justin M.
    Pannu, Jaibir S.
    Simpson, Matthew C.
    Challapalli, Sai D.
    Rohde, Rebecca L.
    Boakye, Eric Adjei
    JOURNAL OF CLINICAL ONCOLOGY, 2020, 38 (15)
  • [7] 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
  • [8] 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
  • [9] Impact of Medicaid Copayments on Patients With Cancer Lessons for Medicaid Expansion Under Health Reform
    Subramanian, Sujha
    MEDICAL CARE, 2011, 49 (09) : 842 - 847
  • [10] Access to cancer care for Medicaid patients at cancer hospitals in the United States.
    Marks, Victoria A.
    Hsiang, Walter R.
    Nie, James
    Buck, Matthew
    Demkowicz, Patrick C.
    Umer, Waez
    Haleem, Afash
    Galal, Bayan
    Pak, Irene
    Kim, Dana
    Kenney, Patrick Aloysius
    Leapman, Michael S.
    JOURNAL OF CLINICAL ONCOLOGY, 2021, 39 (15)