The impact of the affordable care act on breast cancer care in the USA: A multi-institutional analysis

Breast J. 2019 Sep;25(5):948-952. doi: 10.1111/tbj.13373. Epub 2019 Jun 11.

Abstract

There are less data available on the effect of the ACA on breast cancer care beyond the screening level. A retrospective review at participating iCaRe2/BCCR institutions was completed before and after ACA. Post-ACA, patients were older, more urban, and more likely to be insured through Medicaid. Increased imaging use was noted post-ACA. These patients were less likely to be diagnosed with late-stage cancers, received fewer mastectomies, and were more likely to have radiation.

Keywords: affordable care act; breast cancer; cancer disparities.

MeSH terms

  • Breast Neoplasms / diagnostic imaging*
  • Breast Neoplasms / epidemiology
  • Breast Neoplasms / therapy*
  • Female
  • Health Services Accessibility / statistics & numerical data
  • Humans
  • Mammography / statistics & numerical data
  • Mastectomy / statistics & numerical data
  • Medicaid / statistics & numerical data
  • Middle Aged
  • Patient Protection and Affordable Care Act / statistics & numerical data*
  • Retrospective Studies
  • Ultrasonography, Mammary / statistics & numerical data
  • United States / epidemiology
  • Urban Population