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The impact of the patient protection and affordable care act on insurance coverage and cancer-directed treatment in HIV-infected patients with cancer in the United States

Cancer Nov 18, 2019

Corrigan KL, et al. - Researchers examined how the Patient Protection and Affordable Care Act (ACA) affected people living with HIV and cancer (PLWHC)—who have lower cancer treatment rates and worse cancer outcomes. Using the National Cancer Data Base, they analyzed 4,794 PLWHC (aged 18-64 years). Of these, nearly 49% stayed in non-expansion states and were more frequently uninsured (16.7% vs 4.2%), nonwhite (65.2% vs 60.2%), and of low income (36.3% vs 26.9%) vs those in Medicaid expansion states. The analysis revealed an improvement in insurance coverage among PLWHC in correlation with the implementation of the ACA. Non-Medicaid expansion states commonly had cases with a lack of insurance. Non-expansion states more often had patients with minority or low socioeconomic status, thereby highlighting the need for further insurance expansion.

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