February 15, 2018 – The percentage of cancer survivors without health insurance decreased substantially after implementation of the Affordable Care Act (ACA), reports a study in the March issue of Medical Care, published by Wolters Kluwer.
Cancer survivors eligible for Medicaid expansion under the ACA had the greatest decrease in uninsured rate, according to the new research by Amy J. Davidoff, PhD, of Yale School of Public Health, New Haven, Conn., and colleagues. They write, “ACA implementation was associated with large coverage gains in targeted expansion groups, including cancer survivors, but additional progress is needed.”
Improved Access to Insurance for Cancer Survivors
The researchers analyzed data from a nationally representative survey collected before (2012-13) and after (2014-15) implementation of the major ACA coverage expansions. The study included approximately 93,000 adults under age 65. Of these, about 4,000 had a history of some type of cancer.
Changes in insurance coverage rates before and after the ACA were compared for subjects with and without a cancer history. The analysis included the effects of ACA provisions intended to increase access to health insurance, including eligibility for Medicaid and premium subsidies to purchase private coverage in the newly established insurance Marketplaces.
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