scholarly journals Editorial Commentary: Affordable Care Act, Medicaid Expansion … or Not: Ryan White Care Act Remains Essential for Access and Equity

2016 ◽  
Vol 63 (3) ◽  
pp. 404-406 ◽  
Author(s):  
Ellen F. Eaton ◽  
Michael J. Mugavero
2006 ◽  
Vol 25 (4) ◽  
pp. 1103-1112 ◽  
Author(s):  
Erika G. Martin ◽  
Harold A. Pollack ◽  
A. David Paltiel

Author(s):  
Alexander P Cole ◽  
Stuart R Lipsitz ◽  
Adam S Kibel ◽  
Brandon A Mahal ◽  
Nelya Melnitchouk ◽  
...  

Background: Medicaid expansion following the 2010 Affordable Care Act has an unknown impact on palliative treatments. Materials & methods: This registry-based study of individuals with metastatic cancer from 2010 to 2016 identified men and women with metastatic cancer in expansion and non-expansion states who received palliative treatments. A mixed effects logistic regression compared trends in expansion and non-expansion states and generated risk-adjusted probabilities or receiving palliative treatments each year. Results: Despite lower baseline use of palliative treatments, the rate of change was more rapid in expansion states (odds ratio [OR]: 1.02; 95% CI: 1.01–1.03; p < 0.001). The adjusted probability of receiving palliative treatments rose from 21.3 to 26.0% in non-expansion states, and from 19.7 to 26.9% in expansion states. Conclusion: Use of palliative treatments among metastatic cancer patients increased from 2010 to 2016 with a significantly greater increase in Medicaid expansion states, even when adjusting for demographic differences between states.


Medical Care ◽  
2018 ◽  
pp. 1
Author(s):  
Rachel Springer ◽  
Miguel Marino ◽  
Jean P. O’Malley ◽  
Stephan Lindner ◽  
Nathalie Huguet ◽  
...  

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