Lich KH, O'Leary MC, Nambiar S, et al. - Given that limited insurance access is partially responsible for the underutilization of screening for colorectal cancer (CRC), researchers used microsimulation to estimate how insurance expansion and reduction scenarios in North Carolina (NC) influence health and finance. During a 5-year period commencing January 1, 2018, they simulated the full lifetime of a simulated population of 3,298,265 residents age-eligible for CRC screening (ages 50–75). Included insurance scenarios were: status quo, which in NC incorporates access to the Health Insurance Exchange under the Affordable Care Act (ACA); no ACA; NC Medicaid expansion, and Medicare-for-all. According to the findings, improved CRC screening both overall and in underserved populations is likely to be achieved via insurance expansion, while saving money, with the largest savings realized by Medicare.