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

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

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

Suggested Citation

  • Adam B Weiner & Stephen Jan & Ketan Jain-Poster & Oliver S Ko & Anuj S Desai & Shilajit D Kundu, 2020. "Insurance coverage, stage at diagnosis, and time to treatment following dependent coverage and Medicaid expansion for men with testicular cancer," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-11, September.
    • Handle: RePEc:plo:pone00:0238813
    DOI: 10.1371/journal.pone.0238813
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