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J Cancer Surviv. Author manuscript; available in PMC 2017 June 01. Published in final edited form as: J Cancer Surviv. 2016 June ; 10(3): 583–592. doi:10.1007/s11764-015-0504-5.

Medicaid Expansion and Access to Care among Cancer Survivors: A Baseline Overview Wafa W. Tarazi, MHPA, Department of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University, 830 East Main St., P.O. Box 980430, Richmond, Virginia 23298, Phone: 804-937-8590, Fax: 804-628-1233

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Cathy J. Bradley, PhD, University of Colorado Cancer Center David W. Harless, PhD, School of Business, Virginia Commonwealth University Harry D. Bear, MD, PhD, and School of Medicine, Virginia Commonwealth University Lindsay M. Sabik, PhD Department of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University

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Wafa W. Tarazi: [email protected]; Cathy J. Bradley: [email protected]; David W. Harless: [email protected]; Harry D. Bear: [email protected]; Lindsay M. Sabik: [email protected]

Abstract Purpose—Medicaid expansion under the Affordable Care Act facilitates access to care among vulnerable populations, but 21 states have not yet expanded the program. Medicaid expansions may provide increased access to care for cancer survivors, a growing population with chronic conditions. We compare access to healthcare services among cancer survivors living in nonexpansion states to those living in expansion states, prior to Medicaid expansion under the Affordable Care Act.

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Methods—We use the 2012 and 2013 Behavioral Risk Factor Surveillance System to estimate multiple logistic regression models to compare inability to see a doctor because of cost, having a personal doctor, and receiving an annual checkup in the past year between cancer survivors who lived in non-expansion states and survivors who lived in expansion states. Results—Cancer survivors in non-expansion states had statistically significantly lower odds of having a personal doctor (adjusted odds ratio [AOR] 0.76; 95 % confidence interval [CI] 0.63–

Correspondence to: Wafa W. Tarazi, [email protected]. Compliance with Ethical Standards: Funding: This study was supported under a graduate training fellowship in disparities research from the Susan G. Komen Breast Cancer Foundation (GTDR14302086, PI: Sabik). The research was also supported by the Massey Cancer Center. Conflict of Interest: The authors declare that they have no conflict of interest. Ethical approval: This article does not contain any studies with human participants or animals performed by any of the authors.

Tarazi et al.

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Medicaid expansion and access to care among cancer survivors: a baseline overview.

Medicaid expansion under the Affordable Care Act facilitates access to care among vulnerable populations, but 21 states have not yet expanded the prog...
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