Health Policy and Screening for Colorectal Cancer in the United States

Maryam R. Hussain; Faisal S. Ali; Scott A. Larson; Soham Al Snih

doi:10.3390/cancers17122003

Health Policy and Screening for Colorectal Cancer in the United States

Maryam R. Hussain
, Faisal S. Ali
, Scott A. Larson
, Soham Al Snih

Pop Hlth & Hlth Disparities

Research output: Contribution to journal › Review article › peer-review

Abstract

The landscape for the screening of colorectal cancer (CRC) has witnessed multiple triumphs over the past decades from policy-level interventions. In the United States (US), the most prominent intervention of this nature is the Patient Protection and Affordable Care Act (ACA), enacted more than a decade ago. Since its enactment, the ACA has seen multiple legal challenges, and its impact on CRC screening has been relatively well studied. However, a consolidated, concise analysis of the data on this subject is lacking. Herein, we evaluate the impact of the ACA on CRC screening through the lens of a policy analysis, highlighting its strengths and shortcomings, and suggest policy-level interventions to address these shortcomings and improve CRC screening adoption.

Original language	English (US)
Article number	2003
Journal	Cancers
Volume	17
Issue number	12
DOIs	https://doi.org/10.3390/cancers17122003
State	Published - Jun 2025

Keywords

ACA
colonoscopy
colorectal cancer screening
FIT test
Medicaid
Medicare

ASJC Scopus subject areas

Oncology
Cancer Research

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10.3390/cancers17122003

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title = "Health Policy and Screening for Colorectal Cancer in the United States",

abstract = "The landscape for the screening of colorectal cancer (CRC) has witnessed multiple triumphs over the past decades from policy-level interventions. In the United States (US), the most prominent intervention of this nature is the Patient Protection and Affordable Care Act (ACA), enacted more than a decade ago. Since its enactment, the ACA has seen multiple legal challenges, and its impact on CRC screening has been relatively well studied. However, a consolidated, concise analysis of the data on this subject is lacking. Herein, we evaluate the impact of the ACA on CRC screening through the lens of a policy analysis, highlighting its strengths and shortcomings, and suggest policy-level interventions to address these shortcomings and improve CRC screening adoption.",

keywords = "ACA, colonoscopy, colorectal cancer screening, FIT test, Medicaid, Medicare",

author = "Hussain, \{Maryam R.\} and Ali, \{Faisal S.\} and Larson, \{Scott A.\} and \{Al Snih\}, Soham",

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doi = "10.3390/cancers17122003",

language = "English (US)",

volume = "17",

journal = "Cancers",

issn = "2072-6694",

publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",

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TY - JOUR

T1 - Health Policy and Screening for Colorectal Cancer in the United States

AU - Hussain, Maryam R.

AU - Ali, Faisal S.

AU - Larson, Scott A.

AU - Al Snih, Soham

PY - 2025/6

Y1 - 2025/6

N2 - The landscape for the screening of colorectal cancer (CRC) has witnessed multiple triumphs over the past decades from policy-level interventions. In the United States (US), the most prominent intervention of this nature is the Patient Protection and Affordable Care Act (ACA), enacted more than a decade ago. Since its enactment, the ACA has seen multiple legal challenges, and its impact on CRC screening has been relatively well studied. However, a consolidated, concise analysis of the data on this subject is lacking. Herein, we evaluate the impact of the ACA on CRC screening through the lens of a policy analysis, highlighting its strengths and shortcomings, and suggest policy-level interventions to address these shortcomings and improve CRC screening adoption.

AB - The landscape for the screening of colorectal cancer (CRC) has witnessed multiple triumphs over the past decades from policy-level interventions. In the United States (US), the most prominent intervention of this nature is the Patient Protection and Affordable Care Act (ACA), enacted more than a decade ago. Since its enactment, the ACA has seen multiple legal challenges, and its impact on CRC screening has been relatively well studied. However, a consolidated, concise analysis of the data on this subject is lacking. Herein, we evaluate the impact of the ACA on CRC screening through the lens of a policy analysis, highlighting its strengths and shortcomings, and suggest policy-level interventions to address these shortcomings and improve CRC screening adoption.

KW - ACA

KW - colonoscopy

KW - colorectal cancer screening

KW - FIT test

KW - Medicaid

KW - Medicare

UR - https://www.scopus.com/pages/publications/105009032979

UR - https://www.scopus.com/pages/publications/105009032979#tab=citedBy

U2 - 10.3390/cancers17122003

DO - 10.3390/cancers17122003

M3 - Review article

C2 - 40563653

AN - SCOPUS:105009032979

SN - 2072-6694

VL - 17

JO - Cancers

JF - Cancers

IS - 12

M1 - 2003

ER -

Health Policy and Screening for Colorectal Cancer in the United States

Abstract

Keywords

ASJC Scopus subject areas

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