Table 2.
Changes in Overall and Medicaid Health Insurance Coverage among Young Adult Cancer Patients Before and After the Early Implementation of the ACA by Age-Group, SEER Program 2007–2012
Type of Health Insurance Coverage |
Cancer Patients aged 18–25 | Cancer Patients aged 26–29 | Difference in Difference |
|||||
---|---|---|---|---|---|---|---|---|
Before % |
After % |
Difference | Before % |
After % |
Difference | Percent Points1 |
p-value2 | |
Any health insurance | 83.5 | 85.4 | 1.9** | 83.4 | 82.9 | −0.5 | 3.1 | <0.01 |
Medicaid Health Insurance | 18.2 | 19.0 | 0.8 | 15.9 | 18.1 | 2.2** | −1.3 | 0.17 |
Notes:
SEER=Surveillance, Epidemiology, and End Results Program
ACA=Patient Protection and Affordable Care Act
Before=January 2007 – September 2010
After=October 2010 – December 2012
Statistically significant with p-value of <0.01 from Chi-Squared tests
Represents the net change in each health insurance type for cancer patients aged 18–25 after the early implementation of the ACA; estimates are from generalized mixed effect models with random intercepts for each cancer registry state using the logit link function adjusting for time period, age group, time period*age group, sex, race/ethnicity, marital status, cancer site, and stage at diagnosis.
p-value of the interaction term for time period*age