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Cervical and colorectal cancer screening prevalence before and after Affordable Care Act Medicaid expansion

Preventive Medicine May 15, 2019

Huguet N, et al. - Researchers examined how the prevalence of cervical and colorectal cancer screening has changed from pre- to post-Affordable Care Act (ACA) in expansion and non-expansion states among patients seen in community health centers (CHCs). From 203 CHCs, they analyzed electronic health record data on 624,601 non-pregnant patients aged 21–64 years who were eligible for cervical or colorectal cancer screening. Post-ACA, an increase in colorectal and cervical cancer screening prevalences was evident. Both Medicaid expansion and non-expansion states showed an increase in cancer screening rates. Improvement in cancer screening rates was noted for all racial and ethnic groups as well as also for uninsured and Medicaid- and privately-insured patients. Despite improvement, however, colorectal and cervical cancer screening rates remained low.

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