Open AccessAssociation of Medicaid Insurance With Survival Among Patients With Small Cell Lung Cancer
Author(s) -
Todd A. Pezzi,
David L. Schwartz,
Katherine M.W. Pisters,
Abdallah Mohamed,
James W. Welsh,
Joe Y. Chang,
Zhongxing Liao,
Saumil Gandhi,
Lauren A. Byers,
Bruce D. Minsky,
Clifton D. Fuller,
Stephen G. Chun
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.3277
Subject(s) - medicaid , lung cancer , association (psychology) , oncology , medicine , demography , psychology , economics , health care , sociology , economic growth , psychotherapist
Key Points Question Is Medicaid coverage associated with a survival benefit compared with being uninsured among US patients with small cell lung cancer (SCLC)? Findings This cohort registry analysis of 181 784 patients with SCLC included in the US National Cancer Database found no association of Medicaid coverage with a survival advantage compared with no insurance. Patients with private insurance, managed care plans, and Medicare had better survival than did Medicaid recipients or uninsured patients even after adjusting for confounding factors. Meaning Medicaid coverage was not associated with improved overall survival among patients with SCLC, thus highlighting an opportunity for health care policy intervention in this population.
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