Healthcare Disparities in Cancer Patients Receiving Radiation: Changes in Insurance Status after Medicaid Expansion under the Affordable Care Act

We utilized the SEER database to evaluate changes in uninsurance rates among cancer patients undergoing radiation after Medicaid expansion under the Affordable Care Act. Patients in fully expanded and non-fully expanded states treated with radiation during 2011-2013 were compared to those treated in 2014. Uninsurance rates dropped in all states; however the magnitude was larger in fully expanded states. Non-fully expanded states showed significant racial and county-level poverty disparities in uninsurance levels.

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