Insurance coverage, stage at diagnosis, and time to treatment following dependent coverage and Medicaid expansion for men with testicular cancer

Adam B Weiner, Stephen Jan, Ketan Jain-Poster, Oliver S Ko, Anuj S Desai and Shilajit D Kundu

PLOS ONE, 2020, vol. 15, issue 9, 1-11

Abstract: Introduction: We sought to assess the impact of Affordable Care Act Dependent Care Expansion (ACA-DCE), which allowed dependent coverage for adults aged 19–25, and Medicaid expansion on outcomes for men with testicular cancer. Methods: Using a US-based cancer registry, we performed adjusted difference-in-difference (DID) analyses comparing outcomes between men aged 19–25 (n = 8,026) and 26–64 (n = 33,303) pre- (2007–2009) and post-ACA-DCE (2011–2016) and between men in states that expanded Medicaid (n = 2,296) to men in those that did not (n = 2,265)pre- (2011–2013) and post-Medicaid expansion (2015–2016). Results: In ACA-DCE analysis, rates of uninsurance decreased (DID -5.64, 95% confidence interval [CI] -7.23 to -4.04%, p

Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0238813

DOI: 10.1371/journal.pone.0238813

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