Medicaid Payment For Postpartum Long-Acting Reversible Contraception Prompts More Equitable Use.
To increase access to highly effective contraception and improve reproductive autonomy, a growing number of state Medicaid programs pay for the provision of immediate postpartum long-acting reversible contraception (LARC) in addition to providing a global payment for maternity care. Using Pregnancy...
| Publicado en: | Health Affairs Vol. 42; no. 5; pp. 665 - 674 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Health Affairs Publishing, LLC
May2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190593664&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190593664 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: May2023 vid: 42 iid: 5 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 190593664 190593664 190593664 10.1377/hlthaff.2022.01178 190593664 ppf: 665 ppct: 9 formats: tig: atl: Medicaid Payment For Postpartum Long-Acting Reversible Contraception Prompts More Equitable Use. aug: au: Quinlan, Taryn A. G. Lindrooth, Richard C. Guiahi, Maryam McManus, Beth M. Mays, Glen P. affil: Colorado School of Public Health, Aurora, Colorado sug: subj: Medicaid Insurance, Health, Reimbursement Evaluation Long-Acting Reversible Contraceptives Economics Health Services Accessibility Postnatal Period Long-Acting Reversible Contraceptives Administration and Dosage Race Factors Contraception Utilization Contraception Economics Ethnic Groups Human Female Quasi-Experimental Studies Mothers Descriptive Statistics Comparative Studies Association (Research) Health Policy Confidence Intervals Hispanic Americans United States White Persons African Americans Implementation Science Healthcare Disparities Data Analysis Software Funding Source Female ab: To increase access to highly effective contraception and improve reproductive autonomy, a growing number of state Medicaid programs pay for the provision of immediate postpartum long-acting reversible contraception (LARC) in addition to providing a global payment for maternity care. Using Pregnancy Risk Assessment Monitoring System data, we examined postpartum LARC use both overall and by race and ethnicity among respondents with Medicaid-paid births during the period 2012-18 in eight states that implemented immediate postpartum LARC payment and eight states without it. Using a quasiexperimental difference-in-differences design, we found that the policy resulted in an overall 2.1-percentage-point increase in postpartum LARC use. Our triple-differences analysis found no significant change among White mothers and a 3.7-percentage-point increase in use among Black mothers compared with White mothers. Additional research is needed to determine whether this increase was aligned with patients' preferences and whether hospitals' immediate postpartum LARC policies and practices take a patient-centered approach that supports reproductive autonomy and equity. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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