Surveillance and Health Services Research, American Cancer Society, Atlanta, GA.
Department of Economics, University of California, Irvine, CA.
Am Soc Clin Oncol Educ Book. 2020 May;40:e264-e274. doi: 10.1200/EDBK_279951.
Changes in the health insurance coverage landscape in the United States during the past decade have important implications for receipt and affordability of cancer care. In this paper, we summarize evidence for the association between health insurance coverage and cancer prevention and treatment. We then discuss ongoing changes in health care coverage, including implementation of provisions of the Affordable Care Act, increasing prevalence of high-deductible health insurance plans, and factors that affect health care delivery, with a focus on vertical integration of hospitals and providers. We summarize the evidence for the effects of the changes in health coverage on care and discuss areas for future research with the goal of informing efforts to improve cancer care delivery and outcomes in the United States.
在过去十年中，美国医疗保险覆盖范围的变化对癌症护理的获得和负担能力有重要影响。在本文中，我们总结了医疗保险覆盖范围与癌症预防和治疗之间关联的证据。然后，我们讨论了医疗保健覆盖范围的持续变化，包括平价医疗法案条款的实施、高免赔额健康保险计划的流行以及影响医疗服务提供的因素，重点是医院和提供者的垂直整合。我们总结了医疗保险覆盖范围变化对护理的影响的证据，并讨论了未来研究的领域，目的是为改善美国癌症护理提供和结果的努力提供信息。
