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ACA Medicaid expansion association with racial disparity reductions in timely cancer treatment


July 2021


Blythe J.S. Adamson, Aaron B. Cohen, Cary P. Gross, Melissa Estévez, Kelly Magee, Erin Williams, Neal J. Meropol, Amy J. Davidoff. ACA Medicaid Expansion Association With Racial Disparity Reductions in Timely Cancer Treatment. Am J Manag Care. 2021;27(7):274-281.

Our summary

Racial disparities in cancer care and outcomes remain a societal challenge. The expansion of Medicaid as part of the Affordable Care Act was intended to improve health care access and equity. This study, which was originally accepted as a 2019 ASCO Plenary Session, found that state Medicaid expansions were associated with a reduction in the Black-White racial disparity in timely treatment of patients diagnosed with advanced cancers.

Why this matters

RWE is a valuable component of clinical development and health technology assessment programs. However, RWE can also be a critical tool to evaluate and shape health policy, by providing insights on the effects of specific policies on the healthcare landscape at large. This study is a prime example of that application, as it relates to the mitigation of racial disparities, one of the most pressing issues facing healthcare delivery in the US today.

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