Coverage Effects of the ACA's Medicaid Expansion on Adult Reproductive-Aged Women, Postpartum Mothers, and Mothers with Older Children

Bullinger, Lindsey Rose; Simon, Kosali; Edmonds, Brownsyne Tucker

doi:10.1007/s10995-022-03384-8

Cited by 3 publications

(2 citation statements)

References 24 publications

(40 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the 39 states and DC that have expanded Medicaid as part of the ACA, the expansions lifted the Medicaid income eligibility threshold for all low‐income adults to 138% of the FPL. The expansions, which were mostly implemented in 2014, have increased health insurance coverage among reproductive‐aged women (Bullinger et al., 2022; Johnston et al., 2020). Pregnant women who met Medicaid income criteria were eligible to enroll in the program before Medicaid expansion.…”

Section: Introductionmentioning

confidence: 99%

“…Medicaid expansion has great potential to affect Medicaid coverage in the preconception period. Indeed, Bullinger et al (2022) show a "fanning out" effect of the ACA Medicaid expansions within the population of reproductive-aged women depending on their parental status and the age of their children, documenting considerable gains in Medicaid coverage among reproductive-aged women.…”

mentioning

confidence: 99%

See 1 more Smart Citation

The impact of state Medicaid eligibility and benefits policy on neonatal abstinence syndrome hospitalizations

Soni

Bullinger

Andrews

et al. 2023

Contemporary Economic Policy

View full text Add to dashboard Cite

Rates of neonatal abstinence syndrome (NAS) resulting from opioid misuse are rising. However, policies to treat opioid misuse during pregnancy are unclear. We apply a difference‐in‐differences design to national pediatric discharge records to examine the effects of state Medicaid policies on NAS. Among states in which Medicaid covered two clinically‐recommended medications for treating opioid misuse (buprenorphine, methadone), the Affordable Care Act's Medicaid expansion reduced Medicaid‐covered NAS hospitalizations. Medicaid expansion did not affect NAS hospitalizations in other expansion states. These findings imply a nuanced relationship between Medicaid policy and NAS that should be considered in addressing opioid misuse among pregnant women.

show abstract

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

The impact of state Medicaid eligibility and benefits policy on neonatal abstinence syndrome hospitalizations

Soni

Bullinger

Andrews

et al. 2023

Contemporary Economic Policy

View full text Add to dashboard Cite

show abstract

Differences in Use of Fertility Treatment Between People With Medicaid and Private Health Insurance Coverage in the United States

Eliason¹,

Thoma²,

Steenland³

2023

Women's Health Issues

View full text Add to dashboard Cite

Understanding the impact of antenatal care policies in Georgia (USA) and Scotland (UK): A textual synthesis

Shim,

Burnett,

Vernon

et al. 2024

Preprint

View full text Add to dashboard Cite

Objectives: This study aims to (1) understand the role of policy in maternal health outcomes, and (2) establish any differences or similarities between health systems, providing benchmarks for future maternal and infant care policies in Georgia and Scotland. Methods: Guided by JBI methodology, a textual review of policies and public health interventions that have influenced the antenatal care process in both health systems was conducted. Inclusion criteria for this review were classified using the 'PCC' mnemonic: Population- Pregnant women and mothers; Concept- Policies and strategies that supports prenatal and maternal health; and Context- Relevant to Scotland and Georgia. Published primary and secondary research, and grey literature (guidelines, reports, and legislation from authoritative sources) were included. Results: Overall, 60 sources contributed to the report on maternal health system topics. Findings of the textual synthesis presented a regionalized system of maternity care led by physician-provided care models in Georgia compared to the nationalized health system in Scotland with an extended scope for midwife-led care models. On a secondary, organizational level, Scotland also widely operates on protocolized, standardized care informed by clinical guidelines such as NICE. The Georgia health systems also follow national guidelines for care, but extent of standardization may vary based on a mixed system of private and public insurance coverage. Discussion/Conclusion: This is the first study to comprehensively examine maternal health policies in the distinct contexts of Georgia and Scotland, shedding light on the diverse approaches within their respective healthcare systems. These observed variations stem from historical, cultural, and policy contexts unique to each region. As the United States continue to prioritize maternal and child health through public health initiatives, our findings feature crucial considerations for maternal antenatal care policies. Specifically, there is a discernible need to increase access to antenatal care and invest in the maternity care provider workforce, revealing opportunities for targeted improvements in support of maternal health.

show abstract

Coverage Effects of the ACA's Medicaid Expansion on Adult Reproductive-Aged Women, Postpartum Mothers, and Mothers with Older Children

Cited by 3 publications

References 24 publications

The impact of state Medicaid eligibility and benefits policy on neonatal abstinence syndrome hospitalizations

The impact of state Medicaid eligibility and benefits policy on neonatal abstinence syndrome hospitalizations

Differences in Use of Fertility Treatment Between People With Medicaid and Private Health Insurance Coverage in the United States

Understanding the impact of antenatal care policies in Georgia (USA) and Scotland (UK): A textual synthesis

Contact Info

Product

Resources

About