Mar 24, 2020

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

CA: a Cancer Journal for Clinicians
Jingxuan ZhaoXuesong Han


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 introduction of the Medicare and Medicaid programs in 1965. The primary goals of the ACA are to improve health insurance coverage, the quality of care, and patient outcomes, and to maintain or lower costs by catalyzing changes in the health care delivery system. In this review, we describe the main components of the ACA, including health insurance expansions, coverage reforms, and delivery system reforms, provisions within these components, and their relevance to cancer screening and early detection, care, and outcomes. We then highlight selected, well-designed studies examining the effects of the ACA provisions on coverage, access to cancer care, and disparities throughout the cancer control continuum. Finally, we identify research gaps to...Continue Reading

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Mentioned in this Paper

Screening Generic
Drug Delivery Systems
Delivery of Health Care
Patient Protection and Affordable Care Act
Health Disparity
Hospice Care
Uterine Inertia
Screening for Cancer

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