TABLE 3.
Impact of the Affordable Care Act on Rates of Surgery for Medicaid Patients
| Expansion States | Nonexpansion State | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Surgery | Pre | Post | Rate Change | Pre | Post | Rate Change | DID | IRR | P Value |
| Pancreatic | 5.33 | 5.93 | 0.6 | 5.31 | 6.59 | 1.28 | −0.67 | 0.89 | 0.63 |
| Esophageal | 2.94 | 4.00 | 1.06 | 4.81 | 4.76 | −0.05 | 1.10 | 1.32 | 0.84 |
| Lung | 7.07 | 8.48 | 1.41 | 5.08 | 4.69 | −0.40 | 1.81 | 1.30 | 0.01 |
| Bladder | 11.91 | 15.44 | 3.53 | 11.92 | 10.35 | −1.58 | 5.10 | 1.49 | 0.07 |
| Breast | 24.51 | 21.37 | −3.14 | 16.51 | 11.38 | −5.12 | 1.98 | 1.25 | 0.02 |
| Colorectal | 25.53 | 28.39 | 2.85 | 27.43 | 24.44 | −2.99 | 5.84 | 1.25 | 0.00 |
| Prostate | 32.78 | 29.23 | −3.55 | 28.69 | 24.37 | −4.32 | 0.77 | 1.05 | 0.69 |
| Gastric | 14.88 | 15.45 | 0.58 | 10.58 | 9.55 | −1.03 | 1.61 | 1.15 | 0.50 |
Pre-ACA period is from 2010 to 2013; Post-ACA is 2014.
The rate is the observed resection rate per 1000 cancer admissions.
DID indicates difference-in-difference; IRR, incidence rate ratio.