Effects Of Medicaid Expansion On Postpartum Coverage And Outpatient Utilization

Gordon, Sarah H.; Sommers, Benjamin D.; Wilson, Ira B.; Trivedi, Amal N.

doi:10.1377/hlthaff.2019.00547

Cited by 74 publications

(96 citation statements)

References 14 publications

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“…Expanded postpartum coverage, such as the national extensions in postpartum Medicaid coverage that were recently proposed as part of a bipartisan bill in Congress, 42 may help increase continuity of insurance coverage during this critical window and promote the receipt of recommended postpartum care. 26 In sum, ACA Medicaid expansions-a public policy still under active debate in many statescan help address some of the risk factors that shape maternal and child health in the United States. ▪…”

Section: Discussionmentioning

confidence: 99%

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Medicaid Expansion Increased Preconception Health Counseling, Folic Acid Intake, And Postpartum Contraception

2020

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The period before pregnancy is critically important for the health of a woman and her infant, yet not all women have access to health insurance during this time. We evaluated whether increased access to health insurance under the Affordable Care Act Medicaid expansions affected ten preconception health indicators, including the prevalence of chronic conditions and health behaviors, birth control use and pregnancy intention, and receipt of preconception health services. By comparing changes in outcomes for low-income women in expansion and nonexpansion states, we document greater preconception health counseling, prepregnancy folic acid intake, and postpartum use of effective birth control methods among low-income women associated with Medicaid expansion. We do not find evidence of changes on the other preconception health indicators examined. Our findings indicate that expanding Medicaid led to detectable improvements on a subset of preconception health measures.

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Section: Discussionmentioning

confidence: 99%

“…Previous studies have documented increased or more stable Medicaid coverage after the ACA Medicaid expansions during both the prepregnancy and postpartum periods. [25][26][27] We present these estimates for our specific study sample to help with interpretation of our findings.…”

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confidence: 99%

Medicaid Expansion Increased Preconception Health Counseling, Folic Acid Intake, And Postpartum Contraception

2020

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“…One-third of pregnancy-associated deaths occur between one week and one year after birth, and most are preventable (Petersen et al 2019). Medicaid expansions increase access, especially for women who experienced significant maternal morbidity at delivery (Gordon et al 2020). COVID-19, with its heightened dangers for women of color, 'essential' low wage workers, mothers without secure work, food, or housing, and those with chronic illness and disabilities, makes crystal clear the importance of caring for women long after babies are born.…”

Section: The Evidencementioning

confidence: 99%

Setting the Agenda for Reproductive and Maternal Health in the Era of COVID-19: Lessons from a Cruel and Radical Teacher

McCloskey

Amutah‐Onukagha

Bernstein

et al. 2021

Matern Child Health J

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“…In 2013 to 2015, postpartum women in Colorado, which expanded Medicaid through the Affordable Care Act, were much more likely to obtain timely postpartum care than those in Utah, which did not expand Medicaid during this period. 79 Indeed, states with Medicaid expansion had a 6% decrease in opioid overdose deaths compared with states without expansion. 63 Expansion of Medicaid coverage to a year postpartum to ensure uninterrupted mental health and substance use care is quite literally life-saving.…”

Section: Solutionmentioning

confidence: 99%

Early lessons from maternal mortality review committees on drug-related deaths—time for obstetrical providers to take the lead in addressing addiction

Smid

Schauberger

Terplan

et al. 2020

American Journal of Obstetrics & Gynecology MFM

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Understanding the Problem The United States is in the midst of a fatal drug crisis among pregnant and postpartum women-over the past 2 decades, the rates of opioid use disorder (OUD) have quadrupled. 1 Among reproductive-age women, drug-related death-death from poisoning caused by legal, illegal, or medically prescribed drugs-has emerged as a leading cause of death; however, less is understood about the circumstances and preventability of these deaths in pregnant and postpartum women. 2 Maternal mortality review committees (MMRCs) are 1 of 3 national surveillance mechanisms for maternal death in the United States. 3 Because the National Vital Statistics System and the Pregnancy Mortality Surveillance System rely primarily on birth and death certificates to capture maternal deaths, MMRCs are uniquely positioned to analyze the root causes of maternal drug-related deaths. As of February 2020, there were 48 MMRCs nationwide (46 states and 2 cities) that provide multidisciplinary reviews of pregnancy-associated and pregnancy-related deaths (Table 1) including identification of contributing factors and recommended solution at the patient, provider, community, facility, and system levels. Multiple MMRCs have recently reported that mental health conditions now account for a significant proportion of pregnancy-associated and pregnancy-related deaths. 1,3,6e8 Although most drug-related deaths have been

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Effects Of Medicaid Expansion On Postpartum Coverage And Outpatient Utilization

Cited by 74 publications

References 14 publications

Medicaid Expansion Increased Preconception Health Counseling, Folic Acid Intake, And Postpartum Contraception

Medicaid Expansion Increased Preconception Health Counseling, Folic Acid Intake, And Postpartum Contraception

Setting the Agenda for Reproductive and Maternal Health in the Era of COVID-19: Lessons from a Cruel and Radical Teacher

Early lessons from maternal mortality review committees on drug-related deaths—time for obstetrical providers to take the lead in addressing addiction

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