Acceptance of Simulated Adult Patients With Medicaid Insurance Seeking Care in a Cancer Hospital for a New Cancer Diagnosis

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Abstract
Following significant expansions associated with the Patient Protection and Affordable Care Act (ACA) of March 2010, Medicaid has become the largest social insurance program and third largest payer in the United States, now providing health insurance to 1 in 5 US residents.1 As Medicaid has long been an essential source of coverage for low-income, nonelderly US adults with cancer, implementation of the ACA has also led to increases in insurance rates, screening, and access to treatment.2-8 Coverage has notably increased for historically disadvantaged populations of patients with cancer, including members of racial and ethnic minority groups, those residing in rural areas, and individuals with lower educational levels.4,9 Despite improvements attributable to ACA expansion, infrastructural and financial constraints remain obstacles to timely and universal care.

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