The Affordable Care Act and access to care across the cancer control continuum: A review at 10 years

@article{Zhao2020TheAC,
  title={The Affordable Care Act and access to care across the cancer control continuum: A review at 10 years},
  author={Jingxuan Zhao and Ziling Mao and Stacey A Fedewa and Leticia M Nogueira and K. Robin Yabroff and Ahmedin Jemal and Xuesong Han},
  journal={CA: A Cancer Journal for Clinicians},
  year={2020},
  volume={70}
}
Lack of health insurance coverage is strongly associated with poor cancer outcomes in the United States. The uninsured are less likely to have access to timely and effective cancer prevention, screening, diagnosis, treatment, survivorship, and end‐of‐life care than their counterparts with health insurance coverage. On March 23, 2010, the Patient Protection and Affordable Care Act (ACA) was signed into law, representing the largest change to health care delivery in the United States since the… 
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Progress and Persistent Challenges in Improving Care for Low-Income Women with Breast Cancer
TLDR
The authors report a significant reduction in the proportion of uninsured breast cancer patients in Ohio from 32.9% pre-ACA to 14.4% post-ACA and an observed narrowing of the gap between Breast cancer patients by insurance status.
Understanding the Implications of Medicaid Expansion for Cancer Care in the US: A Review.
TLDR
This review provides an overview of the fundamental principles and nuances of Medicaid expansion, as well as the implications for cancer care, to better prepare investigators and their audiences to fully understand the implications of this important health policy initiative.
Association between Medicaid Expansion and Diagnosis and Management of Colon Cancer.
Affordable Care Act and Cancer Survivors' Financial Barriers to Care: Analysis of the National Health Interview Survey, 2009-2018.
TLDR
Survivor-reported measures of financial barriers in cancer survivors age 18-64 years significantly improved following ACA implementation, and similar changes were not seen in the Medicare-eligible cohort, likely because of high Medicare enrollment and few uninsured.
Association of the Affordable Care Act's Medicaid Expansion with the diagnosis and treatment of clinically localized melanoma: A National Cancer Database Study.
An overview of cancer health disparities: new approaches and insights and why they matter
TLDR
This review will discuss unanswered questions and new opportunities in cancer health disparity research related to comorbid chronic diseases, stress signaling, the immune response, and the microbiome, and what contribution these factors may have as causes of cancer health disparities.
Breast Cancer Treatment Following Health Reform: Evidence From Massachusetts
TLDR
The results suggest that health reform was associated with some improvements in breast cancer treatment, and relative increases in reconstruction and adjuvant radiation were observed.
Examination of the Association Between Access to Care and Lung Cancer Screening Among High-Risk Smokers
TLDR
Access to care was independently associated with lowered screening rates, consistent with prior research identifying the importance of access factors on uptake of cancer early detection screening behaviors.
American Cancer Society's report on the status of cancer disparities in the United States, 2021
TLDR
Broad and equitable implementation of evidence‐based interventions, such as increasing health insurance coverage through Medicaid expansion or other initiatives, could substantially reduce cancer disparities, however, progress will require not only equitable local, state, and federal policies but also broad interdisciplinary engagement to elevate and address fundamental social inequities and longstanding systemic racism.
Contributions Of Public Health, Pharmaceuticals, And Other Medical Care To US Life Expectancy Changes, 1990-2015.
TLDR
It is found that twelve conditions most responsible for changing life expectancy explained 2.9 years of net improvement (85 percent of the total), and ischemic heart disease was the largest positive contributor to life expectancy, and accidental poisoning or drug overdose was thelargest negative contributor.
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