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,...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Current Oncology |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1718-7729/30/7/469 |
| _version_ | 1797589632848756736 |
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| author | Alexandra Hotca Julie R. Bloom Juliana Runnels Lucas Resende Salgado Daniel R. Cherry Kristin Hsieh Kunal K. Sindhu |
| author_facet | Alexandra Hotca Julie R. Bloom Juliana Runnels Lucas Resende Salgado Daniel R. Cherry Kristin Hsieh Kunal K. Sindhu |
| author_sort | Alexandra Hotca |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-11T01:09:20Z |
| format | Article |
| id | doaj.art-021de43e77724690ae50b21a08fdc977 |
| institution | Directory Open Access Journal |
| issn | 1198-0052 1718-7729 |
| language | English |
| last_indexed | 2024-03-11T01:09:20Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj.art-021de43e77724690ae50b21a08fdc9772023-11-18T18:55:39ZengMDPI AGCurrent Oncology1198-00521718-77292023-07-013076362637310.3390/curroncol30070469The Impact of Medicaid Expansion on Patients with Cancer in the United States: A ReviewAlexandra Hotca0Julie R. Bloom1Juliana Runnels2Lucas Resende Salgado3Daniel R. Cherry4Kristin Hsieh5Kunal K. Sindhu6Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USASince 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.https://www.mdpi.com/1718-7729/30/7/469Medicaid expansioncancer patients |
| spellingShingle | Alexandra Hotca Julie R. Bloom Juliana Runnels Lucas Resende Salgado Daniel R. Cherry Kristin Hsieh Kunal K. Sindhu The Impact of Medicaid Expansion on Patients with Cancer in the United States: A Review Current Oncology Medicaid expansion cancer patients |
| 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 | Medicaid expansion cancer patients |
| url | https://www.mdpi.com/1718-7729/30/7/469 |
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