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

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,...

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Autores principales: Hotca, Alexandra, Bloom, Julie R., Runnels, Juliana, Salgado, Lucas Resende, Cherry, Daniel R., Hsieh, Kristin, Sindhu, Kunal K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378187/
https://www.ncbi.nlm.nih.gov/pubmed/37504329
http://dx.doi.org/10.3390/curroncol30070469
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author Hotca, Alexandra
Bloom, Julie R.
Runnels, Juliana
Salgado, Lucas Resende
Cherry, Daniel R.
Hsieh, Kristin
Sindhu, Kunal K.
author_facet Hotca, Alexandra
Bloom, Julie R.
Runnels, Juliana
Salgado, Lucas Resende
Cherry, Daniel R.
Hsieh, Kristin
Sindhu, Kunal K.
author_sort Hotca, Alexandra
collection PubMed
description 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.
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spelling pubmed-103781872023-07-29 The Impact of Medicaid Expansion on Patients with Cancer in the United States: A Review Hotca, Alexandra Bloom, Julie R. Runnels, Juliana Salgado, Lucas Resende Cherry, Daniel R. Hsieh, Kristin Sindhu, Kunal K. Curr Oncol Review 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. MDPI 2023-07-02 /pmc/articles/PMC10378187/ /pubmed/37504329 http://dx.doi.org/10.3390/curroncol30070469 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Hotca, Alexandra
Bloom, Julie R.
Runnels, Juliana
Salgado, Lucas Resende
Cherry, Daniel R.
Hsieh, Kristin
Sindhu, Kunal K.
The Impact of Medicaid Expansion on Patients with Cancer in the United States: A Review
title The Impact of Medicaid Expansion on Patients with Cancer in the United States: A Review
title_full The Impact of Medicaid Expansion on Patients with Cancer in the United States: A Review
title_fullStr The Impact of Medicaid Expansion on Patients with Cancer in the United States: A Review
title_full_unstemmed The Impact of Medicaid Expansion on Patients with Cancer in the United States: A Review
title_short The Impact of Medicaid Expansion on Patients with Cancer in the United States: A Review
title_sort impact of medicaid expansion on patients with cancer in the united states: a review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378187/
https://www.ncbi.nlm.nih.gov/pubmed/37504329
http://dx.doi.org/10.3390/curroncol30070469
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