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Financial Toxicity in the Post-Health Reform Era.

Publication ,  Journal Article
Wu, J; Moss, H
Published in: J Am Coll Radiol
January 2023

The Patient Protection and Affordable Care Act (ACA), enacted in March 2010, was comprehensive health care reform legislation aimed to improve health care access and quality of care and curb health care-related costs. This review focuses on key provisions of the ACA and their impact on financial toxicity. We will focus our review on cancer care, because this is the most commonly studied disease process in respect to financial toxicity. Patients with cancer face rising expenditures and financial burden, which in turn impact quality of life, compliance to treatment, and survival outcomes. Health insurance expansion include dependent-coverage expansion, Medicaid expansion, and establishment of the Marketplace. Coverage reform focused on reducing financial barriers by limiting cost sharing. Payment reforms included new innovative payment and delivery systems to focus on improving outcomes and reducing costs. Challenges remain as efforts to reduce costs have led to the expansion of insurance plans, such as high-deductible health plans, that may ultimately worsen financial toxicity in cancer and high out-of-pocket costs for further diagnostic testing and procedures. Further research is necessary to evaluate the long-term impacts of the ACA provisions-and threats to the ACA-on outcomes and the costs accrued by patients.

Duke Scholars

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

January 2023

Volume

20

Issue

1

Start / End Page

10 / 17

Location

United States

Related Subject Headings

  • United States
  • Quality of Life
  • Patient Protection and Affordable Care Act
  • Nuclear Medicine & Medical Imaging
  • Neoplasms
  • Medicaid
  • Insurance, Health
  • Insurance Coverage
  • Humans
  • Health Care Reform
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Wu, J., & Moss, H. (2023). Financial Toxicity in the Post-Health Reform Era. J Am Coll Radiol, 20(1), 10–17. https://doi.org/10.1016/j.jacr.2022.09.036
Wu, Jenny, and Haley Moss. “Financial Toxicity in the Post-Health Reform Era.J Am Coll Radiol 20, no. 1 (January 2023): 10–17. https://doi.org/10.1016/j.jacr.2022.09.036.
Wu J, Moss H. Financial Toxicity in the Post-Health Reform Era. J Am Coll Radiol. 2023 Jan;20(1):10–7.
Wu, Jenny, and Haley Moss. “Financial Toxicity in the Post-Health Reform Era.J Am Coll Radiol, vol. 20, no. 1, Jan. 2023, pp. 10–17. Pubmed, doi:10.1016/j.jacr.2022.09.036.
Wu J, Moss H. Financial Toxicity in the Post-Health Reform Era. J Am Coll Radiol. 2023 Jan;20(1):10–17.
Journal cover image

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

January 2023

Volume

20

Issue

1

Start / End Page

10 / 17

Location

United States

Related Subject Headings

  • United States
  • Quality of Life
  • Patient Protection and Affordable Care Act
  • Nuclear Medicine & Medical Imaging
  • Neoplasms
  • Medicaid
  • Insurance, Health
  • Insurance Coverage
  • Humans
  • Health Care Reform