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Cancer J. 2017 May/Jun;23(3):181-189. doi: 10.1097/PPO.0000000000000263.

The Impact of the Affordable Care Act on Cancer Survivorship.

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From the *Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute; †Massachusetts General Hospital Cancer Center; ‡MGH Mongan Institute for Health Policy Center, Massachusetts General Hospital/Harvard Medical School; and §Department of Medicine, Brigham & Women's Hospital, Boston, MA.


In 2010, the Patient Protection and Affordable Care Act (ACA) was implemented with the aim of expanding access to quality, affordable care. In this review, we describe the ACA provisions that are most relevant for cancer survivors, provide available published evidence, and offer insights for future research. We found that provisions focusing on access to preventive care, access to quality and coordinated care, and coverage expansion and increased affordability suggest beneficial effects. However, we identified research gaps specifically addressing the intended and unintended consequences of the ACA on cancer survivorship care. Whether or not the ACA continues in its current form, research should address the effects of enhanced preventive services, innovative models of care, and payment structures that promote quality of care, as well as access to affordable, equitable care for a growing population of cancer survivors.

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