RSNA15: More Women Screened for Breast Cancer with Medicaid Expansion
States that adopted and implemented the expanded Medicaid programme included California, Connecticut, Minnesota, New Jersey, Washington and Washington, DC. Medicaid is the social healthcare programme for people on low incomes, and states could choose to expand coverage to people under 65 living at up to 133 percent of the defined federal poverty level (FPL). The FPL is issued annually by the Department of Health and Human Services, and is currently $11,770 for individuals and $15,930 for a family of 2.
Lead author Soudabeh Fazeli Dehkordy, MD, MPH, from St. John Providence Hospital in Southfield, Michigan, notes that there is still substantial disparity in breast cancer screening in the United States, despite the fact that increased use of screening mammography has contributed significantly to improved breast cancer detection. Their study sought to find out if increased access to health insurance though expansion of Medicaid resulted in improved breast cancer screening adherence.
Their analysis used data from the 2008 and 2012 Behavioral Risk Factor Surveillance System, which is a system of health-related telephone surveys that collect state data about residents regarding their health-related risk behaviours, chronic health conditions and use of preventive services. Once adjusted for age, education, income and race, the analysis showed that low-income women in expansion states had a similar likelihood of being screened to those in non-expansion states in 2008. In 2012, however, following programme implementation in the the early expander states, low-income women in expansion states were 25 percent more likely to be screened for breast cancer than in 2008.
Image credit: Soudabeh Fazeli Dehkordy
"Understanding the impact of Medicaid expansion on breast cancer screening rates in early expander states can provide valuable insights that can be very useful to both state and federal policymakers when considering key health policy," Dr. Fazeli Dehkordy said.
See Also: Breast MRI after Mammography May Detect Additional Aggressive Cancers
Currently, 23 states have opted to expand Medicaid coverage, while six others are implementing alternatives. The remaining states elected not to implement the expansion program or are still in the process of considering it.
"Adoption of Medicaid expansion by more states can result in considerable improvement of disparities in breast cancer screening, leading to better health outcomes for all women across the United States," Dr. Fazeli Dehkordy added.
Co-authors on the study were Kelli Hall, PhD, Brady West, PhD, Vanessa Dalton, MD, and Ruth C. Carlos, MD, MS.
When and Where
Dr. Dekhordy will be presenting their poster at the Health Service, Policy and Research Community section in the Learning Center, Hall D, Station 2 between 12.15 and 12.45 on Monday. The poster has been honoured with the Trainee Research Prize - Resident.
The Learning Center is open Monday-Thursday 7am-7.30pm and on Friday 7am-12.30pm.
Managing Web Editor, HealthManagement.org
Source: Radiological Society of North America
Image credit: Radiological Society of North America
Published on : Mon, 30 Nov 2015
Print as PDF
For users who value state-of-the art technology: Power and flexibility of a PC in a portable ECG Bidirectional Wi-Fi communication Culprit Coronary Artery AlgorithmTM for early STEMI detection The CARDIOVIT FT-1 is ultra-portable:...
Based on Mindray's new generation ultrasound platform, mQuadro, M9 has raised the industry standards to an all new level. Advanced signal transmission and reception processors provide highly sensitive and accurate echo detection. Innovative transducer...
The SonoSite X-Porte is a high resolution, all digital ultrasound kiosk designed to meet the needs of the demanding clinical environment. The X-Porte Kiosk includes: a capacitive multi-touch panel user interface, adjustable high resolution 19” LED monitor...
Mobile Excellence Featuring advanced imaging technology incorporated in compact hardware, the HM70A with Plus is the right choice for physicians and sonographers who want to deliver excellence in patient care and clinical efficiency wherever they go...
Sectra's reporting module, developed with complex oncology cases in mind, facilitates overview of relevant priors together with the current request and report text. It also offers support for resident workflows and embedded links to images in the rep...