Declines in health insurance among cancer survivors since the 2016 US elections

Enhanced coverage and access has translated to the diagnosis of cancer at earlier stages of disease and more timely treatment; survivors have benefited from improved affordability and enhanced access to care for chronic disease.4 We obtained 2011–19 data from the annual Behavioral Risk Factor Survei...

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Veröffentlicht in:The lancet oncology Jg. 21; H. 11; S. e517
Hauptverfasser: Moss, Haley A, Han, Xuesong, Yabroff, K Robin, Chino, Junzo, Chino, Fumiko
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England Elsevier Ltd 01.11.2020
Elsevier Limited
Schlagworte:
Cancer
Cancer Survivors - legislation & jurisprudence
Health care policy
Health insurance
Hematology, Oncology, and Palliative Medicine
Humans
Insurance coverage
Insurance, Health - economics
Insurance, Health - legislation & jurisprudence
Insurance, Health - trends
Medically Uninsured - legislation & jurisprudence
Patient Protection & Affordable Care Act 2010-US
Patient Protection and Affordable Care Act - economics
Patient Protection and Affordable Care Act - legislation & jurisprudence
Patient Protection and Affordable Care Act - trends
Policy Making
Politics
Risk factors
Surveillance
Time Factors
United States
United States
United States > US
ISSN:1470-2045, 1474-5488, 1474-5488
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Abstract Enhanced coverage and access has translated to the diagnosis of cancer at earlier stages of disease and more timely treatment; survivors have benefited from improved affordability and enhanced access to care for chronic disease.4 We obtained 2011–19 data from the annual Behavioral Risk Factor Surveillance System nationwide survey to investigate temporal correlations between the evolving political climate, specific policies, and insurance coverage for cancer survivors. According to the Behavioral Risk Factor Surveillance System, the number of cancer survivors without health insurance steadily declined after the 2010 passage of the Affordable Care Act and implementation of provisions for coverage led to the highest number of people with health insurance (weighted average 619 190 [7·9%] of cancer survivors). Beginning in 2017, progressive destabilisation of the private insurance markets has led to a reversal of insurance gains and a slow increase in the number of people without health insurance consistent with the erosion of Affordable Care Act policies (weighted average 809 631 [9·9%] of cancer survivors in 2019), particularly in states that did not expand Medicaid eligibility (appendix).
AbstractList Enhanced coverage and access has translated to the diagnosis of cancer at earlier stages of disease and more timely treatment; survivors have benefited from improved affordability and enhanced access to care for chronic disease.4 We obtained 2011–19 data from the annual Behavioral Risk Factor Surveillance System nationwide survey to investigate temporal correlations between the evolving political climate, specific policies, and insurance coverage for cancer survivors. According to the Behavioral Risk Factor Surveillance System, the number of cancer survivors without health insurance steadily declined after the 2010 passage of the Affordable Care Act and implementation of provisions for coverage led to the highest number of people with health insurance (weighted average 619 190 [7·9%] of cancer survivors). Beginning in 2017, progressive destabilisation of the private insurance markets has led to a reversal of insurance gains and a slow increase in the number of people without health insurance consistent with the erosion of Affordable Care Act policies (weighted average 809 631 [9·9%] of cancer survivors in 2019), particularly in states that did not expand Medicaid eligibility (appendix).
Author Moss, Haley A
Chino, Junzo
Chino, Fumiko
Han, Xuesong
Yabroff, K Robin
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  givenname: Haley A
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  organization: Division of Gynecologic Oncology, Duke University Medical Center, Durham, NC 27710, USA
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  givenname: Xuesong
  surname: Han
  fullname: Han, Xuesong
  organization: American Cancer Society, Atlanta, GA, USA
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  organization: American Cancer Society, Atlanta, GA, USA
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  givenname: Fumiko
  surname: Chino
  fullname: Chino, Fumiko
  organization: Memorial Sloan Kettering Cancer Center, New York, NY, USA
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CitedBy_id crossref_primary_10_1093_jnci_djab049
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Cites_doi 10.1056/NEJMp1610717
10.1001/jama.2018.14134
10.1377/hlthaff.2019.00904
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SubjectTerms Cancer
Cancer Survivors - legislation & jurisprudence
Health care policy
Health insurance
Hematology, Oncology, and Palliative Medicine
Humans
Insurance coverage
Insurance, Health - economics
Insurance, Health - legislation & jurisprudence
Insurance, Health - trends
Medically Uninsured - legislation & jurisprudence
Patient Protection & Affordable Care Act 2010-US
Patient Protection and Affordable Care Act - economics
Patient Protection and Affordable Care Act - legislation & jurisprudence
Patient Protection and Affordable Care Act - trends
Policy Making
Politics
Risk factors
Surveillance
Time Factors
United States
Title Declines in health insurance among cancer survivors since the 2016 US elections
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