The effect of Medicaid expansion on female gynecologic cancer-related inpatient admissions

Background: Mortality rate of female gynecologic cancer is higher among individuals without affordable health insurance. Objectives: We determined the impact of Medicaid expansion on the number of female gynecologic-related cancer inpatient admissions in Virginia (VA) relative to North Carolina (NC)...

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Main Authors: Shiva Salehian, Michael Preston, Peter Cunningham, Dipankar Bandyopadhyay, Emmanuel Taylor
Format: Article
Language:English
Published: SAGE Publishing 2024-12-01
Series:Women's Health
Online Access:https://doi.org/10.1177/17455057241307080
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author Shiva Salehian
Michael Preston
Peter Cunningham
Dipankar Bandyopadhyay
Emmanuel Taylor
author_facet Shiva Salehian
Michael Preston
Peter Cunningham
Dipankar Bandyopadhyay
Emmanuel Taylor
author_sort Shiva Salehian
collection DOAJ
description Background: Mortality rate of female gynecologic cancer is higher among individuals without affordable health insurance. Objectives: We determined the impact of Medicaid expansion on the number of female gynecologic-related cancer inpatient admissions in Virginia (VA) relative to North Carolina (NC), the latter of which did not expand Medicaid. Design: This quasi-experimental study was restricted to women between 18 and 64 years old admitted to general, acute, and short-term hospitals with gynecologic cancer. Methods: We used Poisson fixed-effect event study regression to examine differences in the predicted number of female gynecologic-related cancer admissions in the quarters before and after Medicaid expansion (implemented in January 2019) in VA, compared to the same period in NC. Results: Even though not significant, the predicted number of female gynecologic cancer-related inpatient admissions in VA increased by 4.8%, 4.9%, and 5.5% in the second, third, and fourth quarter of 2019, respectively, compared to the first quarter of 2019. Conclusion: Medicaid expansion in VA increased access to health services for Medicaid members, possibly due to initial pent-up demand among uninsured individuals.
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spelling doaj-art-c306a1025f8949a788dbf12db28d8fe92024-12-16T13:03:59ZengSAGE PublishingWomen's Health1745-50652024-12-012010.1177/17455057241307080The effect of Medicaid expansion on female gynecologic cancer-related inpatient admissionsShiva Salehian0Michael Preston1Peter Cunningham2Dipankar Bandyopadhyay3Emmanuel Taylor4Health Policy Department, Virginia Commonwealth University, Richmond, VA, USAHealth Policy Department, Virginia Commonwealth University, Richmond, VA, USAHealth Policy Department, Virginia Commonwealth University, Richmond, VA, USABiostatistics Department, Virginia Commonwealth University, Richmond, VA, USAHealth Policy Department, Virginia Commonwealth University, Richmond, VA, USABackground: Mortality rate of female gynecologic cancer is higher among individuals without affordable health insurance. Objectives: We determined the impact of Medicaid expansion on the number of female gynecologic-related cancer inpatient admissions in Virginia (VA) relative to North Carolina (NC), the latter of which did not expand Medicaid. Design: This quasi-experimental study was restricted to women between 18 and 64 years old admitted to general, acute, and short-term hospitals with gynecologic cancer. Methods: We used Poisson fixed-effect event study regression to examine differences in the predicted number of female gynecologic-related cancer admissions in the quarters before and after Medicaid expansion (implemented in January 2019) in VA, compared to the same period in NC. Results: Even though not significant, the predicted number of female gynecologic cancer-related inpatient admissions in VA increased by 4.8%, 4.9%, and 5.5% in the second, third, and fourth quarter of 2019, respectively, compared to the first quarter of 2019. Conclusion: Medicaid expansion in VA increased access to health services for Medicaid members, possibly due to initial pent-up demand among uninsured individuals.https://doi.org/10.1177/17455057241307080
spellingShingle Shiva Salehian
Michael Preston
Peter Cunningham
Dipankar Bandyopadhyay
Emmanuel Taylor
The effect of Medicaid expansion on female gynecologic cancer-related inpatient admissions
Women's Health
title The effect of Medicaid expansion on female gynecologic cancer-related inpatient admissions
title_full The effect of Medicaid expansion on female gynecologic cancer-related inpatient admissions
title_fullStr The effect of Medicaid expansion on female gynecologic cancer-related inpatient admissions
title_full_unstemmed The effect of Medicaid expansion on female gynecologic cancer-related inpatient admissions
title_short The effect of Medicaid expansion on female gynecologic cancer-related inpatient admissions
title_sort effect of medicaid expansion on female gynecologic cancer related inpatient admissions
url https://doi.org/10.1177/17455057241307080
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