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Medicaid Expansions: Probing Medicaid’s Filling of the Cancer Genetic Testing and Screening Space

Cancer is the third largest source of spending for Medicaid in the United States. A working group of the American Public Health Association Genomics Forum Policy Committee reviewed 133/149 pieces of literature addressing the impact of Medicaid expansion on cancer screening and genetic testing in und...

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Autores principales: Modell, Stephen M., Schlager, Lisa, Allen, Caitlin G., Marcus, Gail
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9223044/
https://www.ncbi.nlm.nih.gov/pubmed/35742117
http://dx.doi.org/10.3390/healthcare10061066
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author Modell, Stephen M.
Schlager, Lisa
Allen, Caitlin G.
Marcus, Gail
author_facet Modell, Stephen M.
Schlager, Lisa
Allen, Caitlin G.
Marcus, Gail
author_sort Modell, Stephen M.
collection PubMed
description Cancer is the third largest source of spending for Medicaid in the United States. A working group of the American Public Health Association Genomics Forum Policy Committee reviewed 133/149 pieces of literature addressing the impact of Medicaid expansion on cancer screening and genetic testing in underserved groups and the general population. Breast and colorectal cancer screening rates improved during very early Medicaid expansion but displayed mixed improvement thereafter. Breast cancer screening rates have remained steady for Latina Medicaid enrollees; colorectal cancer screening rates have improved for African Americans. Urban areas have benefited more than rural. State programs increasingly cover BRCA1/2 and Lynch syndrome genetic testing, though testing remains underutilized in racial and ethnic groups. While increased federal matching could incentivize more states to engage in Medicaid expansion, steps need to be taken to ensure that they have an adequate distribution of resources to increase screening and testing utilization.
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spelling pubmed-92230442022-06-24 Medicaid Expansions: Probing Medicaid’s Filling of the Cancer Genetic Testing and Screening Space Modell, Stephen M. Schlager, Lisa Allen, Caitlin G. Marcus, Gail Healthcare (Basel) Review Cancer is the third largest source of spending for Medicaid in the United States. A working group of the American Public Health Association Genomics Forum Policy Committee reviewed 133/149 pieces of literature addressing the impact of Medicaid expansion on cancer screening and genetic testing in underserved groups and the general population. Breast and colorectal cancer screening rates improved during very early Medicaid expansion but displayed mixed improvement thereafter. Breast cancer screening rates have remained steady for Latina Medicaid enrollees; colorectal cancer screening rates have improved for African Americans. Urban areas have benefited more than rural. State programs increasingly cover BRCA1/2 and Lynch syndrome genetic testing, though testing remains underutilized in racial and ethnic groups. While increased federal matching could incentivize more states to engage in Medicaid expansion, steps need to be taken to ensure that they have an adequate distribution of resources to increase screening and testing utilization. MDPI 2022-06-08 /pmc/articles/PMC9223044/ /pubmed/35742117 http://dx.doi.org/10.3390/healthcare10061066 Text en © 2022 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
Modell, Stephen M.
Schlager, Lisa
Allen, Caitlin G.
Marcus, Gail
Medicaid Expansions: Probing Medicaid’s Filling of the Cancer Genetic Testing and Screening Space
title Medicaid Expansions: Probing Medicaid’s Filling of the Cancer Genetic Testing and Screening Space
title_full Medicaid Expansions: Probing Medicaid’s Filling of the Cancer Genetic Testing and Screening Space
title_fullStr Medicaid Expansions: Probing Medicaid’s Filling of the Cancer Genetic Testing and Screening Space
title_full_unstemmed Medicaid Expansions: Probing Medicaid’s Filling of the Cancer Genetic Testing and Screening Space
title_short Medicaid Expansions: Probing Medicaid’s Filling of the Cancer Genetic Testing and Screening Space
title_sort medicaid expansions: probing medicaid’s filling of the cancer genetic testing and screening space
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9223044/
https://www.ncbi.nlm.nih.gov/pubmed/35742117
http://dx.doi.org/10.3390/healthcare10061066
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