Login / Register


Password: [Lost?]

New User? Click here for your FREE subscription

Nurse Practitioner
Nurse Practitioner Nurse Practitioner

Follow Us

NEWS-Line on Twitter NEWS-Line on Facebook NEWS-Line on Google+ NEWS-Line on LinkedIn NEWS-Line on Pinterest

Nurse Practitioner Conferences &
Educational Opportunities

Dec. 27, 2020 - 31

Skin, Bones, Hearts & Private Parts - CME NOW OnDemand

Skin, Bones, Heart & Private Parts

June 8 - 11

Skin, Bones, Heart & Private Parts

Skin, Bones, Heart & Private Parts

July 26 - 29

Skin, Bones, Heart & Private Parts

Skin, Bones, Heart & Private Parts

Aug. 7 - 11

Save the Date! NADONA’S 34th Annual Conference NADONA! A Life Saver for White Waters Ahead! Barreling Through the Falls to Excellence!


Aug. 10 - 13

Skin, Bones, Heart & Private Parts

Skin, Bones, Heart & Private Parts

More Events

Study Indicates that Medicaid Expansion Has Led to Earlier Cancer Detection Among Individuals with Low Income | NEWS-Line for Nurse Practitioner

Study Indicates that Medicaid Expansion Has Led to Earlier Cancer Detection Among Individuals with Low Income


New research found that the likelihood of being diagnosed with advanced cancer decreased among individuals with low income after expansion of Medicaid coverage. The findings are published early online in CANCER, a peer-reviewed journal of the American Cancer Society (ACS).

The Affordable Care Act expanded Medicaid coverage for most adults in the United States with incomes up to 138% of the federal poverty level, and many states opted to do so starting in 2014. This led to increased enrollment in Medicaid, with most new enrollees reporting that they had previously been uninsured.

Providing insurance coverage to these individuals may lead to more consistent care, including a greater likelihood that people will be routinely screened for cancer. To examine whether Medicaid expansion has led to earlier cancer detection, Uriel Kim, PhD, a medical student and researcher at Case Western Reserve University School of Medicine’s Center for Community Health Integration in Cleveland, Ohio, and his colleagues analyzed information pertaining to 12,760 individuals in Ohio aged 30 to 64 years who were diagnosed with invasive breast, cervical, colorectal, or lung cancer in 2011 to 2016 and were uninsured or had Medicaid insurance at the time of diagnosis. The investigators compared data before Medicaid expansion (2011 to 2013) and after Medicaid expansion (2014 to 2016), noting whether patients were diagnosed with early (non-metastatic) or advanced (metastatic) cancer.

The team found that individuals with low income diagnosed after Medicaid expansion had 15 percent lower odds of having metastatic cancer compared with those diagnosed before expansion. As a control, a separate analysis that focused on individuals with private insurance from high-income communities found nonsignificant pre/post-expansion changes in the odds of being diagnosed with metastatic cancer.

“Cancer stage is the strongest predictor of survival for patients. Long-standing disparities in mortality from screening-amenable cancers between high-income and low-income adults have been driven in large part by differences in metastatic cancer rates,” said Kim. “Medicaid expansion under the Affordable Care Act was associated with a significant reduction in the likelihood of being diagnosed with deadly metastatic cancer among Americans with low income. These improvements represent substantial progress in closing a persistent gap in cancer survival between Americans with high and low income.”

The study’s senior author, Johnie Rose, MD, PhD, assistant professor at Case Western Reserve University School of Medicine’s Center for Community Health Integration, added that the study highlights the important role that Medicaid expansion has played in increasing access to preventive services, which impact health beyond cancer. “This fact is particularly relevant in the era of the COVID-19 pandemic as tens of millions of people have lost their jobs, and record numbers are expected to rely on safety net programs like Medicaid,” he said.

An accompanying editorial notes that the findings are consistent with those from other studies that have examined the impact of Medicaid expansion on cancer outcomes. “The totality of these findings suggests that health coverage through Medicaid is an important predictor of cancer burden, and—critically—of early cancer identification,” the authors wrote.

Additional Information

NOTE: The information contained in this release is protected by copyright. Please include journal attribution in all coverage. A free abstract of this article will be available via the Cancer News Room upon online publication. For more information or to obtain a PDF of any study, please contact:
Penny Smith +44 (0) 1243 770448 (UK)
[email protected]
Follow us on Twitter @WileyNews

Full Citations:
“The effect of Medicaid expansion among adults from low-income communities on stage at diagnosis in those with screening-amenable cancers.” Uriel Kim, Siran Koroukian, Abby Statler, and Johnie Rose. CANCER; Published Online: July 6, 2020 (DOI: 10.1002/cncr.32895)
URL Upon Publication: http://doi.wiley.com/10.1002/cncr.32895

“Determining the impact of Medicaid expansion on cancer burden.” Hala T. Borno Tracy K. Lin, and Rajaie S. Batniji. CANCER; Published Online: July 6, 2020 (DOI: 10.1002/cncr.33039).
URL Upon Publication: http://doi.wiley.com/10.1002/cncr.33039

Author Contact: Paula Darte, of the Communications Department at the Cleveland Institute for Computational Biology, Case Western Reserve University School of Medicine, at [email protected] or +1 216-870-6323.

About the Journal

CANCER is a peer-reviewed publication of the American Cancer Society integrating scientific information from worldwide sources for all oncologic specialties. The objective of CANCER is to provide an interdisciplinary forum for the exchange of information among oncologic disciplines concerned with the etiology, course, and treatment of human cancer.

CANCER is published on behalf of the American Cancer Society by Wiley and can be accessed online.
Follow us on Twitter @JournalCancer

Source: CANCER

Share This!

Nurse Practitioner Jobs

Vice President of Clinical and Health Services - Nurse Practitioner

Áegis Living
Bellevue, Washington

Traveling Nurse Practitioner or House Calls Nurse Practitioner

Intermountain Healthcare
Las Vegas, NV

Certified Nurse Midwife

Bronson Battle Creek Obstetrics and Gynecology
Battle Creek, Michigan

Family Nurse Practitioner

Northern Light Sebasticook Valley Hospital
Pittsfield, Maine

Psychiatric ARNP

Community House
Seattle, WA

NAVY MEDICINE - Making a Difference,


More Jobs
(Dismiss) Thank you for visiting NEWS-Line! Please sign up, login, or follow us on your favorite social networks
to receive custom tailored eNews, job listings, and educational opportunities for your specific profession.