Medicaid has a long history of serving pregnant women, but many women are not eligible for before pregnancy or after sixty days postpartum. We used data new mothers with Medicaid-covered prenatal care in 2015–18 from forty-three states participating the Pregnancy Risk Assessment Monitoring System (PRAMS) to describe patterns perinatal uninsurance and health outcomes experiencing uninsurance. found that 26.8 percent were uninsured pregnancy, 21.9 became two six months postpartum, 34.5 either...

The federal Strong Start for Mothers and Newborns initiative supported alternative approaches to prenatal care, enhancing service delivery through the use of birth centers, group maternity care homes. Using propensity score reweighting control medical social risks, we evaluated impacts Start’s models on outcomes costs by comparing experiences enrollees those Medicaid-covered women who received typical care. We found that in centers had lower rates preterm low-birthweight infants, cesarean...

Medicaid plays a critical role during the perinatal period, but pregnancy-related eligibility only extends for 60 days post partum. In 2014, Affordable Care Act's (ACA's) expansions increased adult to 138% of federal poverty level in participating states, allowing eligible new mothers remain covered after coverage expires. We investigate impact ACA on insurance among living poverty.We define as women ages 19 44 with incomes below who report giving birth past 12 months. use 2010-2017 American...

Decades of disparities in health between infants born to Black and White mothers have persisted recent years, despite policy initiatives improve maternal reproductive for mothers. Although scholars increasingly recognized the critical role that structural racism plays driving outcomes people, measurement this relationship remains challenging. This study examines trends preterm birth low weight 2007 2018 separately births Using a multivariate regression model, we evaluated potential factors,...

Insuring Women in the United States Before, During, and After Pregnancies Affiliation E. Kathleen Adams PhD, Emily M. Johnston BAE. is a Professor Department of Health Policy Management, Rollins School Public Health, Emory University, Atlanta, GA. PhD Candidate University.CopyRightCorrespondence should be sent to Adams, Professor, 1518 Clifton Road NE Suite 654, GA 30322 (e-mail: [email protected]edu). Reprints can ordered at http://www.ajph.org by clicking "Reprints" link.CONTRIBUTORSBoth...

To test the effects of state prescription contraception insurance mandates on unintended, mistimed, and unwanted births in a sample privately insured recent mothers.We pooled Pregnancy Risk Assessment Monitoring System (PRAMS) data from 1997 to 2012 study 209,964 mothers 24 states, 11 which implemented coverage between 2000 2008.Individual-level difference-in-differences models compare probability unintended birth among state-years with those without mandates. Additional use aggregate...

This paper uses patient responses to the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for three years (2009-2011) from 1,333 acute-care hospitals in fourteen states analyze patterns 10 hospital-reported experience-of-care scores by 29 characteristics classified as: characteristics, payer source, severity, hospital operations, market characteristics. We also evaluate how have changed over three-year period. find significant differences 250 out 290...

We examine the impact of Children's Health Insurance Program (CHIP) eligibility expansions 1999 to 2012 on child and joint parent/child insurance coverage. use changes in state CHIP income levels data from Current Population Survey Annual Social Economic Supplement create child/parent dyads. logistic regression estimate marginal effects coverage families with incomes below 300% federal poverty level (FPL) and, turn, 150% FPL. The latter is range most targeted. find increased public among...

Objectives: To observe gestational diabetes mellitus (GDM) prevalence among participants receiving enhanced prenatal care through one of three models: Birth Centers, Group Prenatal Care, and Maternity Care Homes. Materials Methods: This study draws upon data collected from 2014 to 2017 as part the Strong Start II evaluation includes nearly 46,000 women enrolled across 27 awardees with more than 200 sites throughout United States. Descriptive statistical analyses utilized participant surveys...

Numerous states have implemented policies expanding public insurance eligibility or subsidizing private for parents.To assess the impact of parental health expansions from 1999 to 2012 on likelihood that parents are insured; their children both parent and child within a family unit type insurance.Cross-sectional analysis 2000-2013 March supplements Current Population Survey, with data Medical Expenditure Panel Survey-Insurance Component Area Resource File.Cross-state within-state...

Objectives. To describe perceptions of access to abortion among women reproductive age and their associations with state policy contexts.Methods. We used data from the 2018 Survey Family Planning Women's Lives, a probability-based sample 2115 adult aged 18 44 years in US households.Results. found that 27.6% (95% confidence interval [CI] = 23.3%, 32.7%) believed medical was difficult 30.1% CI 25.6%, 35.1%) surgical difficult. Adjusted for covariates, were significantly more likely perceive...

Abstract We revisit the Affordable Care Act (ACA)'s Medicaid expansion's labor market effects and build upon it by estimating of subsidized Marketplace insurance. Using American Community Survey data, we jointly model expansion on force outcomes using simulated eligibility measures. Throughout our analysis, focus heterogeneity gender, parental status, single versus two‐headed households. Consequently, this is first paper presenting ACA among women with children, an important group, which may...

The passage of the Affordable Care Act (ACA) in 2010 marked a significant achievement for congressional health reform. Despite increased partisanship, decreased productivity, and polarization Congress, major reform legislation was passed. We compare ACA’s to failure Clinton-era reform, emphasizing gridlock theory, which some scholars interpreted predict that would not be possible 2010. identify several ways different outcomes ACA Clinton effort can explained by theory: pivotal actors,...

In order to assess consistency across quality measures for Untied States hospitals, this paper uses patient responses the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey three years (2009-2011) from 1,333 acute-care hospitals in fourteen states analyze patterns hospital-reported experience-of-care scores by diagnosis-specific process outcome acute myocardial infarction, heart failure, pneumonia. We also evaluate how have changed over three-year period. find...