New York's Basic Health Program Increased Subsidized Insurance Coverage From Preconception To The Postpartum Period.
Prepregnancy access to care and continuous health insurance coverage from preconception to postpartum are modifiable drivers of maternal health. The Basic Health Program (BHP) provision of the Affordable Care Act (ACA) allows states to provide low-income people with earnings above the Medicaid incom...
| Published in: | Health Affairs Vol. 44; no. 12; pp. 1497 - 1505 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
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Health Affairs Publishing, LLC
Dec2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190601396&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190601396 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: Dec2025 vid: 44 iid: 12 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 190601396 190601396 190601396 10.1377/hlthaff.2025.00773 190601396 ppf: 1497 ppct: 8 formats: tig: atl: New York's Basic Health Program Increased Subsidized Insurance Coverage From Preconception To The Postpartum Period. aug: au: Eddelbuettel, Julia C. P. Daw, Jamie R. Galbraith, Alison A. Gordon, Sarah H. Kaimal, Anjali Garabedian, Laura F. affil: Harvard University, Cambridge, Massachusetts sug: subj: Postnatal Period Insurance Coverage Economics Prepregnancy Care Economics Program Evaluation Human Funding Source New York Pregnancy Female Adult Quantitative Studies Questionnaires Probability Sample Descriptive Statistics Data Analysis Software Patient Protection and Affordable Care Act Health Insurance Exchanges Health Services Accessibility Medicaid Adult: 19-44 years Female ab: Prepregnancy access to care and continuous health insurance coverage from preconception to postpartum are modifiable drivers of maternal health. The Basic Health Program (BHP) provision of the Affordable Care Act (ACA) allows states to provide low-income people with earnings above the Medicaid income threshold with insurance coverage that is more affordable than Marketplace plans. This study used data from the Pregnancy Risk Assessment Monitoring System from the period 2015--20 and a difference-in-differences design to evaluate the impact of New York's BHP on two insurance outcomes: preconception coverage through New York's state BHP or Marketplace and continuous publicly subsidized coverage during and after pregnancy following prepregnancy BHP or Marketplace coverage. Compared with coverage in comparison states with no BHP, New York's BHP increased preconception BHP and Marketplace coverage by 8.8 percentage points and increased continuous publicly subsidized coverage pre- to post-pregnancy by 6.9 percentage points. The BHP was not associated with a change in preconception uninsurance. The BHP could be an important state-level policy to improve coverage affordability and stability from preconception to the postpartum period, especially given the present uncertainty of federal funding for Medicaid and Marketplace coverage. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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