scholarly journals The Association between the Affordable Care Act and Insurance Status, Stage and Treatment in Patients with Testicular Cancer

2020 ◽  
Vol 7 (4) ◽  
pp. 252-258
Author(s):  
Walter Hsiang ◽  
Xuesong Han ◽  
Ahmedin Jemal ◽  
Kevin A. Nguyen ◽  
Brian Shuch ◽  
...  
Keyword(s):  
Testicular Cancer ◽  
Affordable Care Act ◽  
Insurance Status ◽  
The Affordable Care Act

scholarly journals MP29-16 THE ASSOCIATION BETWEEN THE AFFORDABLE CARE ACT, INSURANCE STATUS, AND TREATMENT AMONG PATIENTS WITH TESTICULAR CANCER

2019 ◽  
Vol 201 (Supplement 4) ◽  
Author(s):  
Walter Hsiang ◽  
Ahmedin Jemal ◽  
Kevin Nguyen ◽  
Brian Shuch ◽  
Henry Park ◽  
...  
Keyword(s):  
Testicular Cancer ◽  
Affordable Care Act ◽  
Insurance Status ◽  
The Affordable Care Act

The impact of the Affordable Care Act on treatment of testicular cancer.

2017 ◽  
Vol 35 (6_suppl) ◽  
pp. 422-422
Author(s):  
John Joseph Francis ◽  
Robert Abouassaly ◽  
Christopher Gonzalez ◽  
Neal J. Meropol ◽  
Alexander Kutikov ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Health Insurance ◽  
Testicular Cancer ◽  
Affordable Care Act ◽  
Private Health Insurance ◽  
Young Men ◽  
Insurance Status ◽  
The Affordable Care Act ◽  
The Impact ◽  
Privately Insured

422 Background: The passage of the Affordable Care Act (ACA) in 2010 aimed to improve access for uninsured patients to private health insurance. Yet, the impact of the ACA on the number of privately insured young patients and on the timeliness of medical care for serious medical conditions, remain unclear. Thus, we sought to ascertain changes in insurance status and evaluate timeliness of post-orchiectomy definitive therapy for young men diagnosed with testicular cancer following passage of the ACA. Methods: From the National Cancer Database, we identified all patients 18 – 50 years of age diagnosed with stages I – III testicular cancer from 2007 to 2013. Patients were divided into groups at the time of diagnosis; 2007 – 2009 (pre-ACA) and 2011 to 2013 (post-ACA). Only patients who had undergone radical orchiectomy and had a reported insurance status were included in analysis. The primary outcomes were insurance type at diagnosis and time to treatment of secondary therapy following orchiectomy (systemic chemotherapy, radiation therapy, or surgery {Retroperitoneal lymph node dissection; RPLND}). Results: Overall, 17,945 patients were included in analysis with 53.5% diagnosed with pure seminoma and 46.5% diagnosed with nonseminomatous germ cell tumor (NSGCT). In comparing pre- and post-ACA cohorts, the percentage of patients with private health insurance decreased following the passage of the ACA (74.1% vs. 71.2%; p < 0.01). Similarly, the percentage of patients without any insurance increased between the two time frames (12.7 % vs. 13.4%; p < 0.01). More patients presented with clinical stage II and III disease following the passage of the ACA (28.9% vs. 31.9%; p < 0.01). Compared to patients without health insurance, privately insured patients received more timely secondary definitively therapy with radiation therapy (49.9 vs. 60.9 days, p < 0.01) and chemotherapy (41.5 vs. 45.7 days, p < 0.01) but no difference in the time to RPLND (18.8 vs. 16.7 days, p = 0.70). Conclusions: The impact of the ACA on patients with testicular cancer shows minimal worsening in the number of privately insured young men and increasing rates of advanced testis cancer. This was not in agreement with our hypothesis and suggests the ACA is not benefiting young men with this malignancy.

scholarly journals Health Insurance Coverage before and after the Affordable Care Act in the USA

Sci ◽  
2021 ◽  
Vol 3 (2) ◽  
pp. 25
Author(s):  
Jesse Patrick ◽  
Philip Q. Yang
Keyword(s):  
Health Insurance ◽  
National Health ◽  
Affordable Care Act ◽  
The United States ◽  
Insurance Status ◽  
Health Insurance Status ◽  
Full Implementation ◽  
Before And After ◽  
The Affordable Care Act ◽  
Partial Implementation

The Affordable Care Act (ACA) is at the crossroads. It is important to evaluate the effectiveness of the ACA in order to make rational decisions about the ongoing healthcare reform, but existing research into its effect on health insurance status in the United States is insufficient and descriptive. Using data from the National Health Interview Surveys from 2009 to 2015, this study examines changes in health insurance status and its determinants before the ACA in 2009, during its partial implementation in 2010–2013, and after its full implementation in 2014 and 2015. The results of trend analysis indicate a significant increase in national health insurance rate from 82.2% in 2009 to 89.4% in 2015. Logistic regression analyses confirm the similar impact of age, gender, race, marital status, nativity, citizenship, education, and poverty on health insurance status before and after the ACA. Despite similar effects across years, controlling for other variables, youth aged 26 or below, the foreign-born, Asians, and other races had a greater probability of gaining health insurance after the ACA than before the ACA; however, the odds of obtaining health insurance for Hispanics and the impoverished rose slightly during the partial implementation of the ACA, but somewhat declined after the full implementation of the ACA starting in 2014. These findings should be taken into account by the U.S. Government in deciding the fate of the ACA.

Health Insurance Coverage Before and After the Affordable Care Act

Sci ◽  
2019 ◽  
Vol 1 (1) ◽  
pp. 30
Author(s):  
Patrick ◽  
Yang
Keyword(s):  
Health Insurance ◽  
National Health ◽  
Affordable Care Act ◽  
The United States ◽  
Insurance Status ◽  
Health Insurance Status ◽  
Full Implementation ◽  
Before And After ◽  
The Affordable Care Act ◽  
Partial Implementation

The Affordable Care Act (ACA) is at the crossroads. It is important to evaluate the effectiveness of the ACA in order to make rational decisions about the ongoing healthcare reform, but existing research into its effect on health insurance status in the United States is insufficient and descriptive. Using data from the National Health Interview Surveys from 2009 to 2015, this study examines changes in health insurance status and its determinants before the ACA in 2009, during its partial implementation in 2010–2013, and after its full implementation in 2014 and 2015. The results of trend analysis indicate a significant increase in national health insurance rate from 82.2% in 2009 to 89.4% in 2015. Logistic regression analyses confirm the similar impact of age, gender, race, marital status, nativity, citizenship, education, and poverty on health insurance status before and after the ACA. Despite similar effects across years, controlling for other variables, youth aged 26 or below, the foreign-born, Asians, and other races had a greater probability of gaining health insurance after the ACA than before the ACA; however, the odds of obtaining health insurance for Hispanics and the impoverished rose slightly during the partial implementation of the ACA but somewhat declined after the full implementation of the ACA starting in 2014. These findings should be taken into account by the U.S. government in deciding the fate of the ACA.

Effects of the Affordable Care Act on Health Insurance Coverage Among Middle-Aged Adults

2019 ◽  
Vol 49 (4) ◽  
pp. 712-732 ◽  
Author(s):  
Eunsun Kwon ◽  
Sojung Park ◽  
Timothy D. McBride
Keyword(s):  
Affordable Care Act ◽  
Low Income ◽  
Insurance Coverage ◽  
Insurance Status ◽  
Unskilled Labor ◽  
Status Change ◽  
Middle Aged ◽  
Income Status ◽  
The Affordable Care Act ◽  
Middle Aged Adults

Access to insurance coverage is challenging for middle-aged adults with higher perceived insurance needs (e.g., declining health status) and higher barriers to coverage (e.g., unstable employment and income status). Focusing on middle-aged adults, this study investigated the extent to which employment, financial, and health statuses are associated with changing patterns of insurance status following implementation of the Affordable Care Act (ACA). Seven waves (2002–2014) of the Health and Retirement Study, combined with the RAND Center for the Study of Aging data, were used. Four patterns of insurance status change emerged: constantly insured, constantly uninsured, insured after ACA, and uninsured after ACA. Compared to constantly insured, other subgroups were associated with unstable employment, unskilled labor, and part-time employment. The role of public insurance might be nearly negligible for those who were in unstable employment status and needed to shift to other forms of private coverage. More attention is needed to better understand how the insurance market functions and policy changes that could improve it. There were demographic patterns in those who remained chronically uninsured: constantly low income and poor health conditions. This suggests a much-needed practical underpinning for policymaking efforts regarding this high-risk group entering old age with catastrophic health care costs.

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