Medicaid expansion increases cancer clinical trial participation

Published in JAMA Oncology, the study explored the impact of Medicaid expansion in 2014 and 2015 on cancer clinical trial participation. Researchers found that the 19% annual increase, compounded over time, resulted in 52% more patients with Medicaid insurance participating in cancer clinical trials than was projected during the same time period had the policy not been implemented.

Joseph Unger, PhD, a health services researcher and associate professor in the Public Health Sciences Division at Fred Hutch "This is an important finding in its own right, as it shows how socioeconomic conditions are strongly associated with who enrolls in clinical trials," Dr. Unger said. "This suggests that, going forward, it is important for researchers to more commonly consider the societal background of the participants when designing and conducting clinical trials and analyzing study data."

Related Stories"This study demonstrates that targeted policies not only can increase overall access to health care among cancer patients, but also increase the accessibility of participating in a clinical trial," said Unger.

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Expanded Medicaid coverage linked to higher participation in cancer clinical trialsThe Medicaid expansion under the Patient Protection and Affordable Care Act resulted in a 19% annual increase in Medicaid-insured cancer patients participating in publicly funded clinical trials, according to researchers from Fred Hutchinson Cancer Center, the SWOG Statistics and Data Management Center and Columbia University.
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