Article
Medicine, General & Internal
Maria Rodriguez, Megan Skye, Stephan Lindner, Aaron B. Caughey, Ana Lopez-DeFede, Blair G. Darney, K. John McConnell
Summary: Expanding Emergency Medicaid benefits to include postpartum care is associated with significant improvements in receipt of postpartum care and contraceptive use, according to the study.
Article
Health Care Sciences & Services
Maria W. Steenland, Lydia E. Pace, Anna D. Sinaiko, Jessica L. Cohen
Summary: South Carolina's Medicaid program separated payment for immediate postpartum placement of long-acting reversible contraception from its global maternity payment in 2012. This policy successfully increased the availability of immediate postpartum long-acting reversible contraception, especially among adolescents. However, additional policy approaches may be needed to achieve widespread availability of this option as not all facilities began to offer it after the policy change.
Editorial Material
Medicine, General & Internal
Eli Y. Adashi, Daniel P. O'Mahony, I. Glenn Cohen
Summary: This Viewpoint examines the crisis of maternal mortality in the US, the necessity of extending Medicaid coverage postpartum, and the ongoing challenges related to maternal health across the country.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2023)
Article
Medicine, General & Internal
Erica L. Eliason, Jamie R. Daw, Heidi L. Allen
Summary: This study compared maternal coverage and care between Medicaid and marketplace eligibility, finding that Medicaid eligibility was associated with increased Medicaid coverage, lower preconception uninsurance, and increased adequate prenatal care.
Article
Medicine, General & Internal
Maria I. Rodriguez, Menolly Kaufman, Stephan Lindner, Aaron B. Caughey, Ana Lopez DeFede, K. John McConnell
Summary: This study found that expanding Emergency Medicaid benefits to include prenatal care significantly improved receipt of guideline-concordant prenatal care. However, prenatal care coverage alone was not sufficient to significantly improve postpartum contraception or reduce subsequent short interpregnancy interval births.
Article
Medicine, General & Internal
Maria W. Steenland, Raj Vatsa, Lydia E. Pace, Jessica L. Cohen
Summary: This cross-sectional study suggests that Medicaid policies that reimburse immediate postpartum LARC may increase access to this service, but policy implementation has been uneven, resulting in unequal access.
Article
Obstetrics & Gynecology
Erica L. Eliason, Amanda Spishak-Thomas, Maria W. Steenland
Summary: The implementation of the Affordable Care Act has led to an increase in postpartum contraceptive use, particularly for long-acting reversible contraception.
Article
Public, Environmental & Occupational Health
Satyasandipani Pradhan, S. Marie Harvey, Linh N. Bui, Jangho Yoon
Summary: This study examined the effect of Medicaid expansion in Oregon on duration of Medicaid enrollment and outpatient care utilization for low-income individuals during the postpartum period. The results showed that Medicaid expansion increased insurance coverage duration and outpatient care utilization, potentially contributing to reductions in pregnancy-related mortality and morbidities among birthing individuals.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Health Care Sciences & Services
Erica Eliason, Lindsay K. Admon, Maria W. Steenland, Jamie R. Daw
Summary: Using data from the Pregnancy Risk Assessment Monitoring System, we discovered that only 68 percent of prenatal Medicaid enrollees maintained continuous Medicaid coverage for nine to ten months after childbirth. Among the enrollees who lost coverage in the early postpartum period, two-thirds remained uninsured for the same period. The implementation of state postpartum Medicaid extensions could prevent a return to the pre-pandemic rates of postpartum coverage loss.
Article
Health Care Sciences & Services
Sarah H. Gordon, Alex Hoagland, Lindsay K. Admon, Jamie R. Daw
Summary: The American Rescue Plan Act allows states to extend pregnancy-related Medicaid coverage for up to one year, resulting in improved continuity of postpartum insurance coverage for low-income adults.
Article
Public, Environmental & Occupational Health
Jiajia Chen, Lijing Ouyang, David A. Goodman, Ekwutosi M. Okoroh, Lisa Romero, Jean Y. Ko, Shanna Cox
Summary: The study evaluates the impact of ACA Medicaid eligibility expansion on perinatal insurance coverage, finding that the expansion has a positive effect on Medicaid coverage before and after childbirth. The impact varies among different race/ethnicity groups and states.
WOMENS HEALTH ISSUES
(2023)
Editorial Material
Obstetrics & Gynecology
Maria Rodriguez, Menolly Kaufman, Stephan Lindner, Aaron B. Caughey, Ana Lopez DeFede, K. John McConnell
Summary: This study found that expanding Medicaid coverage to include prenatal care significantly improved the receipt of guideline-concordant prenatal care. However, prenatal care coverage alone was not associated with a meaningful increase in postpartum contraception or a reduction in subsequent short interpregnancy interval births.
OBSTETRICAL & GYNECOLOGICAL SURVEY
(2022)
Article
Public, Environmental & Occupational Health
Nathan Hale, Wondimu S. Manalew, Edward Leinaar, Michael Smith, Bisakha Sen, Pradeep Sharma, Amal Khoury
Summary: This study analyzed contraception use and pregnancy rates among reproductive-age women enrolled in South Carolina Medicaid, finding that women using SAC methods had lower pregnancy rates and those using LARC methods had significantly lower pregnancy rates. Variation in contraceptive use among different racial/ethnic groups was observed, highlighting the importance of Medicaid programs in providing access to effective contraception for women.
MATERNAL AND CHILD HEALTH JOURNAL
(2021)
Article
Obstetrics & Gynecology
Maria I. Rodriguez, Megan Skye, Alison B. Edelman, Lorinda Anderson, Blair G. Darney
Summary: This study found no significant differences in the rates of continuation of effective contraception, perfect use, or switching at 12 months among patients who received their baseline prescription from a pharmacist versus a clinician.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2021)
Article
Health Care Sciences & Services
Brandy J. Lipton, Tracy L. Finlayson, Sandra L. Decker, Richard J. Manski, Mingan Yang
Summary: The study found that Medicaid adult dental coverage can significantly reduce the prevalence of untreated caries among children and improve parent-reported child oral health, especially for children under twelve. The effects were observed across different racial and ethnic subgroups, with non-Hispanic Black children potentially benefiting more from the policy.
