Introduction: The Affordable Care Act (ACA) expanded Medicaid eligibility to persons with income up to 138% of the federal poverty line. We investigated how Medicaid expansion (ME) impacted the access to cancer-specific surgical care in the US.
Methods: We used a nationwide population-based database (SEER) to identify patients with the 8 most prevalent cancers between 2007 and 2015. Adjusted difference-in-differences (DiD) and multivariate regression were used for statistical analysis.
Results: A total of 1,008,074 patients were included. Patients post-ME were diagnosed at an earlier stage (pre-ME, 27.6%; post-ME, 31.1%; P < 0.001), and lack of insurance coverage decreased from 5.5% to 2.6% (P < 0.001). Lower-SES population had improved access to surgical care (attributable benefit +3.18%; P < 0.001). ME was an independent predictor of access-to-surgery (OR, 1.45; P < 0.001), whereas African-American and Hispanic race were negative predictive factors.
Conclusion: After ME, the population without insurance coverage decreased. This was associated with earlier cancer diagnosis and improved access to surgery in patients from economically disadvantaged communities.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.amjsurg.2019.06.023 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The ACA Medicaid expansions and abortion rates among young adults.
Eur J Health Econ
January 2025
Arkansas Tech University, Arkansas, USA.
This paper examines whether the expansion of Medicaid under the Affordable Care Act (ACA), which increases access to contraceptives to low-income childless women and allows them more autonomy to determine the timing of their pregnancies and births, is associated with lower abortion rates during the period 2008-2017. Using state-level data from the Guttmacher Institute and employing a difference-in-differences method, we find that Medicaid expansion is associated with a meaningful reduction in the abortion rate among women ages 18-24, presumably through increased use of contraceptives among low-income young adults. Our estimates imply that Medicaid expansion is associated with a relative decrease in the abortion rate among this age group, approximately 1-2 per 1000 women.
View Article and Find Full Text PDFProvider capacity during Medicaid expansion and a public health emergency.
Am J Manag Care
December 2024
University of Missouri Truman School of Government and Public Affairs, 615 Locust St, E004 Locust Street Bldg, Columbia, MO 65211. Email:
Objectives: To assess the capacity of Medicaid providers to take on new patients during a time of unprecedented growth in program enrollment due to Medicaid expansion and the COVID-19 public health emergency.
Study Design: We conducted a survey of Medicaid providers in Missouri in 2023 about their patient load and capacity to accept new patients.
Methods: We recruited 141 Missouri Medicaid providers through probability sampling and 109 additional providers through convenience sampling for a total sample size of 250, representing 0.
Telehealth Usability Among Rural and Low-Income Populations: A Survey of Wyoming Medicaid Members.
J Patient Exp
December 2024
Division of Healthcare Financing, Wyoming Department of Health, Cheyenne, WY, USA.
Telehealth has been shown as a tool to improve health access and outcomes in rural areas. There is less literature examining the usability and utility of telehealth by rural and low-income populations. Existing literature focuses on examining telehealth usability for specific telehealth platforms and specific use cases.
View Article and Find Full Text PDFIs the Affordable Care Act Medicaid expansion in the USA associated with reductions in intimate partner violence victimisation?
Inj Prev
December 2024
Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
Objective: Intimate partner violence (IPV) affects an estimated 47% of women living in the USA in their lifetime and is associated with increased risk of physical and mental health concerns. Current prevention efforts focus on individual and family-level interventions rather than macrosystem-level policies. Thus, we sought to test the effects of Medicaid expansion on the rates of IPV and violence more broadly.
View Article and Find Full Text PDFThe Impact of Medicaid Expansion on Congenital Heart Surgery Outcomes: Data From the Society of Thoracic Surgeons Database.
Anesth Analg
December 2024
From the Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, University of Washington, Seattle, WA.
Article Synopsis
- The Affordable Care Act expanded Medicaid for children, leading to differences in coverage between states that adopted the expansion and those that did not.
- A study analyzed data on pediatric cardiac surgeries from 2010 to 2019 to see if Medicaid expansion improved surgical outcomes like mortality, complications, and length of hospital stay.
- Results showed no significant improvement in surgical outcomes in states that expanded Medicaid, indicating that while overall surgery mortality declined, Medicaid expansion did not lead to better results compared to non-expansion states.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!