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Affordable Care Act (ACA) Medicaid expansion impact on racial disparities in time to cancer treatment

Journal of Clinical Oncology Jun 13, 2019

Adamson BJS, et al. - Using the nationwide Flatiron Health electronic health record-derived database, researchers focused on how racial disparities in terms of time to treatment among patients with advanced cancer were influenced by the Affordable Care Act (ACA) Medicaid expansion. Patients (ages 18-64 years) who received a diagnosis of advanced or metastatic cancer (NSCLC, breast, urothelial, gastric, colorectal, renal cell, prostate, and melanoma) between January 1, 2011 and December 31, 2018, were selected. Overall 34,067 patients (median age 57 years; 12% African American) were included. Before expansion, racial disparities existed; timely treatment was 4.9% less likely to be seen in African American patients. As a result of implementation of Medicaid expansions, the receipt of timely treatment in African American cancer patients has improved, attenuating racial inequalities in access to care.

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