Impact of the Affordable Care Act on Insurance Status of Patients Newly Diagnosed With Kaposi Sarcoma
Journal Title: Journal of Dermatology Research - Year 2023, Vol 4, Issue 2
Abstract
Background: The Affordable Care Act (ACA) role in changing the insurance composition of patients diagnosed with many dermatological conditions, such as Kaposi Sarcoma (KS), has not been assessed. Methods: The Surveillance, Epidemiology and End Results (SEER) Program, which captures cancer data from nearly 40% of cases in the US was used to extract cases. Cases were subgrouped by Medicaid expansion and non-expansion states. Standard mean differences were used as the statistical measure with P-value <0.05 used for statistical significance. Results: 2,465 patients met the inclusion criteria. In patients newly diagnosed with Kaposi sarcoma nationally before and after ACA implementation, the analysis showed there was no significant difference in the percentage of uninsured patients, Medicaid-insured patients, or privately insured patients. Pre- and post-ACA sub-analysis of patients newly diagnosed with Kaposi sarcoma in states that expanded Medicaid showed: (1) significant decrease in the percentage of uninsured patients (-5.81% difference, 95% CI -9.58% to -2.04%, P <.05); (2) significant increase in the percentage of Medicaid-insured patients (+9.36% difference, 95% CI +0.35% to +18.37%, P <.05) and (3) no significant difference in the percent of privately insured patients (-3.54% difference, 95% CI -13.74% to +6.64%). Sub-analysis in non-expansion states showed no difference between the insurance subtypes. Conclusion: Medicaid expansion played the largest role in reducing the percentage of uninsured patients newly diagnosed with KS. In states without Medicaid expansion, it is important that public health forces ensure adequate access to medications with services like the Ryan White HIV/AIDS Program.
Authors and Affiliations
Vignesh Ramachandran, Esha Hansoti
Keywords
Related Articles
- EP ID EP717152
- DOI https://doi.org/10.46889/JDR.2023.4204
- Views 61
- Downloads 0
A Survey on Neonatal and Infant Skincare: Indian Dermatologists, Pediatricians and Cosmetologists' Perspective on Product Prescription Pattern and Parents’ Awareness
Objective: Newborn skin is incredibly delicate and vulnerable to issues like dermatitis and infections, which are prevalent in infants in India. To ensure optimal care and results, parents and caregivers must know about...
Human Hair Care Using Products Containing Naturally Obtained Collagen from Salmon Skin Waste
The aim of the articles was to popularize the upcycling trend in the production of sustainable cosmetics and to confirm their effectiveness. For thousands of years, people have been looking for new ways to improve their...
Nail Involvement in Pemphigus: Brief Report
Background: The objective of our study is to describe the different nail involvement at the beginning of the disease according to the type of pemphigus and according to the severity of the pemphigus. Material and meth...
Post COVID - 19 Infection Diffuse Patch Granuloma Annulare in a Female Patient with Rheumatoid Arthritis: A Case Report
Introduction: Granuloma Annulare (GA) is a benign, usually self-limited, inflammatory granulomatous skin disorder of unknown etiology and with a diversity of clinical variants. Genetic factors, associations with predispo...
Wound Irrigation Using Normal Saline 0.9% Versus Tap Water: A Review for Street Medicine and Low-resource Providers
Patients experiencing homelessness are a vulnerable cohort who suffer from disproportionate skin disease burden. Acute and chronic wounds represent high morbidity conditions with severe consequences. Adequate management...