Medicaid Expansion and Mortality Among Patients With Colorectal Cancer - Scorecard - MDSpire
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The Impact of Medicaid Expansion on Mortality Rates in Colorectal Cancer Patients

  • By

  • Oluwasegun Akinyemi

  • Oladayo Oyebanji

  • Babawale Oluborode

  • Bolarinwa Akinwumi

  • Fadeke Ogunyankin

  • Kakra Hughes

  • Terrence Fullum

  • Quyen Chu

  • Surya Nalamati

  • Marwan Abouljoud

  • Christine Nembhard

  • Craig Reickert

  • September 18, 2026

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Clinical Scorecard: The Impact of Medicaid Expansion on Mortality Rates in Colorectal Cancer Patients

At a Glance

CategoryDetail
ConditionColorectal Cancer
Key MechanismsMedicaid expansion linked to improved insurance coverage, access to preventive services, and treatment utilization.
Target PopulationAdults aged 40 to 64 years diagnosed with colorectal cancer.
Care SettingNational 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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