Clinical Edge

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Impact of Medicaid Disenrollment in Breast Ca

Cancer; ePub 2017 Jun 26; Tarazi, Bradley, et al

Women who lost Medicaid coverage tended to be in a later stage of their breast cancer at the time of diagnosis in a study involving women from the Tennessee Cancer Registry. Participants were part of the registry between 2002 and 2008. Investigators looked at differences in women diagnosed with breast cancer in low-and high-income zip codes before and after 2005 Medicaid disenrollment. Among the results:

  • Overall, nonelderly women were diagnosed at later disease stages and experienced more treatment delays after the disenrollment period.
  • Disenrollment was linked with a more than 3 percentage point increase in late stage of disease at the time of diagnosis in women living in low-income zip codes, vs those living in high-income zip codes.
  • Women in the low-income zip codes were less likely to experience a treatment delay.

The authors noted that their findings show the potential negative impacts of Medicaid contraction.

Citation:

Tarazi W, Bradley C, Bear H, Harless D, Sabik L. Impact of Medicaid disenrollment in Tennessee on breast cancer stage at diagnosis and treatment. [Published online ahead of print June 26, 2017]. Cancer. doi:10.1002/cncr.30771.