ArticleAnnals of surgery2018
Impact of the Affordable Care Act (ACA) Medicaid Expansion on Cancer Admissions and Surgeries.
Article in Annals of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.
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Who cites it
49 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Evaluating Medicaid expansion benefits for patients with cancer: National Cancer Database analysis and systematic review.Journal of cancer policy · 2021Pooled it
- The Affordable Care Act's Medicaid Expansion and Impact Along the Cancer-Care Continuum: A Systematic Review.Journal of the National Cancer Institute · 2020Pooled it
- Association of the Affordable Care Act With Receipt of Guideline-Concordant Adjuvant Chemotherapy for Colon and Non-Small Cell Lung Cancer.Cancer medicine · 2026Article
- Article
- A Qualitative Study Examining Caregivers' Perspectives on Healthcare System Barriers and Facilitators to Foregut Cancer Care.The Journal of surgical research · 2025Article
- Association of Medicaid expansion with colon cancer care: treatment patterns and survival in non-metastatic cases from state registry-claims data.Cancer causes & control : CCC · 2025Article
- Medicaid Expansion is Associated with Differences in Local Therapy for Non-small Cell Lung Cancer.Annals of surgical oncology · 2025Article
- Patient-Reported Barriers to Foregut Cancer Care in the Deep South.Annals of surgical oncology · 2025Article
- Article
- Examining implementation strategies to reduce disparities in lung cancer screening uptake by state Medicaid expansion status: a scoping review.Preventive oncology & epidemiology · 2025Article
- Impact and Durability of the Affordable Care Act Medicaid Expansion on Lung Cancer Treatment.Annals of thoracic surgery short reports · 2024Article
- Trends in Timely Access to High-Quality and Affordable Surgical Care in the United States.Annals of surgery · 2024Article
- Medicaid expansion in California and breast cancer incidence across neighborhoods with varying social vulnerabilities.Cancer causes & control : CCC · 2024Article
- Impact of Medicaid expansion under the Patient Protection and Affordable Care Act on lung cancer care in the US.Journal of thoracic disease · 2024Article
- Impact of the Implementation of the Affordability Care Act on Gastric Cancer Survival Rates.Cureus · 2024Article
- Medicaid Expansion Under the Affordable Care Act and Early Mortality Following Lung Cancer Surgery.JAMA network open · 2024Article
- Introducing activation functions into segmented regression model to address lag effects of interventions.BMC medical research methodology · 2023Article
- Impact of Medicaid Expansion on Abdominal Surgery Morbidity, Mortality, and Hospital Readmission.The Journal of surgical research · 2023Article
- Changes in cancer mortality after Medicaid expansion and the role of stage at diagnosis.Journal of the National Cancer Institute · 2023Article
- Medicaid Expansion and Postoperative Mortality in Women with Gynecologic Cancer: A Difference-in-Difference Analysis.Annals of surgical oncology · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveThis study aims to evaluate the trends in cancer (CA) admissions and surgeries after the Affordable Care Act (ACA) Medicaid expansion.
methodsThis is a retrospective study using HCUP-SID analyzing inpatient CA (pancreas, esophagus, lung, bladder, breast, colorectal, prostate, and gastric) admissions and surgeries pre- (2010-2013) and post- (2014) Medicaid expansion. Surgery was defined as observed resection rate per 100 cancer admissions. Nonexpansion (FL) and expansion states (IA, MD, and NY) were compared. A generalized linear model with a Poisson distribution and logistic regression was used with incidence rate ratios (IRR) and difference-in-differences (DID).
resultsThere were 317, 858 patients in our sample which included those with private insurance, Medicaid, or no insurance. Pancreas, breast, colorectal, prostate, and gastric CA admissions significantly increased in expansion states but decreased in nonexpansion states. (IRR 1.12, 1.14, 1.11, 1.34, 1.23; P < .05) Lung and colorectal CA surgeries (IRR 1.30, 1.25; P < .05) increased, while breast CA surgeries (IRR 1.25; P < .05) decreased less in expansion states. Government subsidized, or self-pay patients had greater odds of undergoing lung, bladder, and colorectal CA surgery (OR 0.45 vs 0.33; 0.60 vs 0.48; 0.47 vs 0.39; P < .05) in expansion states after reform.
conclusionsIn states that expanded Medicaid coverage under the ACA, the rate of surgeries for colorectal and lung CA increased significantly, while breast CA surgeries decreased less. Parenthetically, these cancers are subject to population screening programs. We conclude that expanding insurance coverage results in enhanced access to cancer surgery.
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