The impact of the Patient Protection and Affordable Care Act on insurance coverage and cancer‐directed treatment in HIV‐infected patients with cancer in the United States

To the authors' knowledge, little is known regarding the impact of the Patient Protection and Affordable Care Act (ACA) on people living with HIV and cancer (PLWHC), who have lower cancer treatment rates and worse cancer outcomes. To investigate this research gap, the authors examined the effects of the ACA on insurance coverage and receipt of cancer treatment among PLWHC in the United States.

[1]  H. Nelson,et al.  Incident Cases Captured in the National Cancer Database Compared with Those in U.S. Population Based Central Cancer Registries in 2012–2014 , 2019, Annals of Surgical Oncology.

[2]  A. Jemal,et al.  Comparison of Insurance Status and Diagnosis Stage Among Patients With Newly Diagnosed Cancer Before vs After Implementation of the Patient Protection and Affordable Care Act , 2018, JAMA oncology.

[3]  K. Simon,et al.  Effect of Medicaid Expansions of 2014 on Overall and Early-Stage Cancer Diagnoses , 2018, American journal of public health.

[4]  L. Havrilesky,et al.  Health Care Disparities in Cancer Patients Receiving Radiation: Changes in Insurance Status After Medicaid Expansion Under the Affordable Care Act. , 2017, International journal of radiation oncology, biology, physics.

[5]  M. Luu,et al.  Treatment at high‐volume facilities and academic centers is independently associated with improved survival in patients with locally advanced head and neck cancer , 2017, Cancer.

[6]  A. Jemal,et al.  Changes in Insurance Coverage and Stage at Diagnosis Among Nonelderly Patients With Cancer After the Affordable Care Act. , 2017, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[7]  Abigail Silva,et al.  Potential impact of the Affordable Care Act's preventive services provision on breast cancer stage: A preliminary assessment. , 2017, Cancer epidemiology.

[8]  C. Colla,et al.  The Affordable Care Act and Cancer Care Delivery. , 2017, Cancer journal.

[9]  S. Buskin,et al.  A cross-jurisdictional evaluation of insurance coverage among HIV care patients following the Affordable Care Act , 2017, AIDS care.

[10]  Jing Jiang,et al.  Insurance Status and Racial Disparities in Cancer-Specific Mortality in the United States: A Population-Based Analysis , 2017, Cancer Epidemiology, Biomarkers & Prevention.

[11]  P. Volberding,et al.  Implementation and Operational Research: Affordable Care Act Implementation in a California Health Care System Leads to Growth in HIV-Positive Patient Enrollment and Changes in Patient Characteristics , 2016, Journal of acquired immune deficiency syndromes.

[12]  A. Jemal,et al.  HIV Infection and Survival of Lymphoma Patients in the Era of Highly Active Antiretroviral Therapy , 2016, Cancer Epidemiology, Biomarkers & Prevention.

[13]  A. Jemal,et al.  Comparison of Comorbid Medical Conditions in the National Cancer Database and the SEER–Medicare Database , 2016, Annals of Surgical Oncology.

[14]  B. Obama,et al.  United States Health Care Reform: Progress to Date and Next Steps. , 2016, JAMA.

[15]  A. Jemal,et al.  Disparities in cancer treatment among patients infected with the human immunodeficiency virus , 2016, Cancer.

[16]  David W Harless,et al.  Medicaid expansion and access to care among cancer survivors: a baseline overview , 2016, Journal of Cancer Survivorship.

[17]  S. Soumerai,et al.  Colorectal Cancer Screening in a Nationwide High-deductible Health Plan Before and After the Affordable Care Act , 2016, Medical care.

[18]  A. Jemal,et al.  Association Between the Affordable Care Act Dependent Coverage Expansion and Cervical Cancer Stage and Treatment in Young Women. , 2015, JAMA.

[19]  J. Hébert,et al.  Medicaid Coverage Expansion and Implications for Cancer Disparities. , 2015, American journal of public health.

[20]  E. Engels,et al.  Elevated Cancer-Specific Mortality Among HIV-Infected Patients in the United States. , 2015, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[21]  Matthew Koshy,et al.  Disparities in stage at diagnosis, treatment, and survival in nonelderly adult patients with cancer according to insurance status. , 2014, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[22]  O. Kirk,et al.  Trends in underlying causes of death in people with HIV from 1999 to 2011 (D:A:D): a multicohort collaboration , 2014, The Lancet.

[23]  N. Sood,et al.  The Affordable Care Act may increase the number of people getting tested for HIV by nearly 500,000 by 2017. , 2014, Health affairs.

[24]  A. Stewart,et al.  Comparison of Cases Captured in the National Cancer Data Base with Those in Population-based Central Cancer Registries , 2013, Annals of surgical oncology.

[25]  Xianglin L. Du,et al.  Effects of individual‐level socioeconomic factors on racial disparities in cancer treatment and survival , 2011, Cancer.

[26]  J. Goedert,et al.  Cancer burden in the HIV-infected population in the United States. , 2011, Journal of the National Cancer Institute.

[27]  J. Margolick,et al.  Cancer incidence in the multicenter aids cohort study before and during the HAART era , 2010, Cancer.

[28]  M. Brock,et al.  Are surgical outcomes for lung cancer resections improved at teaching hospitals? , 2008, The Annals of thoracic surgery.

[29]  C. Gross,et al.  Racial disparities in cancer therapy , 2008, Cancer.

[30]  V. Shavers,et al.  Racial and ethnic disparities in the receipt of cancer treatment. , 2002, Journal of the National Cancer Institute.

[31]  Ashley L Cole,et al.  Out-of-Pocket Spending Under the Affordable Care Act for Patients With Cancer. , 2017, Cancer journal.

[32]  G. Suneja,et al.  Cancer care disparities in people with HIV in the United States , 2017, Current opinion in HIV and AIDS.

[33]  L. Sabik,et al.  State Medicaid expansion decisions and disparities in women's cancer screening. , 2015, American journal of preventive medicine.

[34]  C. Brennan.  ACA and HIV: opportunities and challenges. , 2014, HIV clinician.