The Impact of Medicaid Expansion on Mortality Rates in Colorectal Cancer Patients
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By
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Oluwasegun Akinyemi
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Oladayo Oyebanji
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Babawale Oluborode
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Bolarinwa Akinwumi
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Fadeke Ogunyankin
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Kakra Hughes
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Terrence Fullum
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Quyen Chu
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Surya Nalamati
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Marwan Abouljoud
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Christine Nembhard
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Craig Reickert
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September 18, 2026
Clinical Scorecard: The Impact of Medicaid Expansion on Mortality Rates in Colorectal Cancer Patients
At a Glance
| Category | Detail |
| Condition | Colorectal Cancer |
| Key Mechanisms | Medicaid expansion linked to improved insurance coverage, access to preventive services, and treatment utilization. |
| Target Population | Adults aged 40 to 64 years diagnosed with colorectal cancer. |
| Care Setting | National Cancer Database (NCDB) study assessing mortality outcomes. |
Key Highlights
- Colorectal cancer is a leading cause of cancer-associated morbidity and mortality in the US.
- Medicaid expansion has been associated with improved cancer screening and treatment utilization.
- Social determinants of health significantly influence colorectal cancer outcomes.
- The study utilized a difference-in-differences framework to assess mortality rates.
- Racial and ethnic disparities in colorectal cancer outcomes were a focus of the study.
Guideline-Based Recommendations
Diagnosis
- Histologically confirm colorectal cancer diagnosis.
- Utilize AJCC TNM classifications for staging.
Management
- Ensure access to preventive services and evidence-based treatment through Medicaid.
Monitoring & Follow-up
- Track overall mortality and treatment patterns post-ACA implementation.
Risks
- Consider socioeconomic and racial/ethnic factors that may affect disease stage and outcomes.
Patient & Prescribing Data
Adults aged 40 to 64 years with colorectal cancer.
Access to definitive treatment may improve with Medicaid expansion.
Clinical Best Practices
- Encourage early detection through screening.
- Address social determinants of health in treatment planning.
- Monitor disparities in treatment and outcomes among different racial and ethnic groups.
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