Disenrollment From Medicaid After Recent Cancer Diagnosis

OBJECTIVES: We examine the frequency with which newly diagnosed cancer patients are covered by Medicaid in Washington State and the duration of coverage. METHODS: Medicaid enrollment and claims files were linked to the Washington State Cancer Registry to identify all Medicaid enrollees with breast, cervical, lung, colorectal, and prostate cancer between 1997 and 2002. RESULTS: We identified 5009 newly diagnosed cancer patients covered by Medicaid, approximately 13% of the total cases diagnosed in subjects less than 65 years of age in Washington State. The majority, 2866 (57%), enrolled in Medicaid around the time of diagnosis; the remainder had been enrolled at least 3 months before diagnosis. Persons enrolled at diagnosis had later-stage cancer; those enrolled before diagnosis had more noncancer comorbidities. Overall, 18% had disenrolled by 6 months after diagnosis; 34% by 1 year; and 54% by 2 years. CONCLUSIONS: Medicaid patients with cancer in Washington State experience a high rate of disenrollment within 1 year after diagnosis. Further research is needed to determine whether disenrollment compromises initial therapy or follow-up care

Cancer · Health care · Medicaid · Political science · Economic and Financial Impacts of Cancer · Global Cancer Incidence and Screening · Healthcare Policy and Management · Internal Medicine · Medicine

• Cost of Cervical Cancer Treatment

  Open Access•Sujha Subramanian, Justin G Trogdon et al.•Women s Health Issues•2010

  Añadir item

• The Effect of the Breast and Cervical Cancer Prevention and Treatment Act on Medicaid Disenrollment

  Open Access•Li-Nien Chien, Li‐Nien Chien et al.•Women s Health Issues•2010

  Añadir item

• Impact of Medicaid expansion on stage of diagnosis of lung cancer for rural and urban patients in New Hampshire

  Open Access•Benjamin Carter, Jasmine Denny et al.•The Journal of Rural Health•2025

  Añadir item

• Cost of Breast Cancer Treatment in Medicaid

  Sujha Subramanian, Justin G Trogdon et al.•Medical Care•2011

  Añadir item

• The Relation between Health Insurance Coverage and Clinical Outcomes among Women with Breast Cancer

  John Z Ayanian, Betsy A Kohler et al.•New England Journal of Medicine•1993

  Añadir item

• Development of a comorbidity index using physician claims data

  Open Access•Carrie N Klabunde, Arnold L Potosky et al.•Journal of Clinical Epidemiology•2000

  Añadir item

• Is Health Care Spending Higher under Medicaid or Private Insurance

  Open Access•Jack Hadley, John Holahan•INQUIRY The Journal of Health…•2003

  Añadir item

• Reliability in Adolescent Reporting of Clinician Counseling, Health Care Use, and Health Behaviors

  John Santelli, J Douglass Klein et al.•Medical Care•2002

  Añadir item

• Access to Medical Care and Health-Related Quality of Life for Low-Income Persons with Symptomatic Human Immunodeficiency Virus

  William E Cunningham, Ron D Hays et al.•Medical Care•1995

  Añadir item

• Equity of Access to Medical Care

  Lu Ann Aday, Ronald Andersen et al.•Medical Care•1981

  Añadir item

• Special Issues in Assessing Care of Medicaid Recipients

  Julie A Brown, Shirley E Nederend et al.•Medical Care•1999

  Añadir item

• Late Stage Cancers in a Medicaid-insured Population

  Cathy J Bradley, Charles W Given et al.•Medical Care•2003

  Añadir item

• Linked Insurance-Tumor Registry Database for Health Services Research

  Bradley N Doebbeling, David K Wyant et al.•Medical Care•1999

  Añadir item

• Breast Cancer Stage at Diagnosis in Relation to Duration of Medicaid Enrollment

  Carin I Perkins, Carin Perkins et al.•Medical Care•2001

  Añadir item