The Association Between Continuity Of Marketplace Coverage During Pregnancy And Receipt Of Prenatal Care.

Insurance disruptions before, during, and after pregnancy are common in the United States, but little is known about the enrollment patterns of pregnant people in the Affordable Care Act Marketplaces. Data from the Pregnancy Risk Assessment Monitoring System from the period 2016-18 show that among r...

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Publicado en:Health Affairs Vol. 40; no. 10; pp. 1618 - 1627
Autores principales: Gordon, Sarah H., Alger, Charlotte L., Declercq, Eugene R., Garrido, Melissa M.
Formato: research tables/charts Journal Article
Publicado: Health Affairs Publishing, LLC Oct2021
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The Association Between Continuity Of Marketplace Coverage During Pregnancy And Receipt Of Prenatal Care.
      aug:
        au:
          Gordon, Sarah H.
          Alger, Charlotte L.
          Declercq, Eugene R.
          Garrido, Melissa M.
        affil: Assistant professor in the Department of Health Law, Policy, and Management, Boston University School of Public Health
      sug:
        subj:
          Prenatal Care
          Health Insurance Exchanges
          Insurance Coverage In Pregnancy
          Health Policy
          Insurance, Health
          Human
          Patient Protection and Affordable Care Act
          Postnatal Period
          Prepregnancy Care
          Pregnancy
          Female
          Expectant Mothers
          Health Services Accessibility
          Health Status
          Adolescence
          Young Adult
          Adult
          Surveys
          Adolescent: 13-18 years
          Adult: 19-44 years
          Female
      ab: Insurance disruptions before, during, and after pregnancy are common in the United States, but little is known about the enrollment patterns of pregnant people in the Affordable Care Act Marketplaces. Data from the Pregnancy Risk Assessment Monitoring System from the period 2016-18 show that among respondents enrolled in Marketplace coverage, approximately one-third reported continuous Marketplace enrollment from preconception through the postpartum period. Compared with respondents who were continuously enrolled in Marketplace coverage from preconception through postpartum, respondents who enrolled in Marketplace plans during pregnancy had a 10.8 percent lower rate of adequate prenatal care, a 6.4 percent lower rate of timely prenatal care initiation, and a 13.2 percent lower rate of having twelve or more prenatal care visits. Policies that promote continuity of coverage during pregnancy, such as designating pregnancy as a qualifying event for a Marketplace open enrollment period, may enable pregnant people to enroll in Marketplace coverage early in their pregnancies and thus enhance access to prenatal care.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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