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Medicaid and moms: the potential impact of extending medicaid coverage to mothers for 1 year after delivery

Journal of Perinatology volume 42, pages 819–824 (2022)Cite this article

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Abstract

The American Rescue Plan provides a pathway for states to expand postpartum Medicaid coverage for low-income mothers through 12 months after delivery. Data suggests that extension of post-partum Medicaid coverage should improve access to outpatient health care services, increase healthcare utilization, improve chronic disease management for at-risk mothers, and reduce disparities in care for racial/ethnic groups over-represented in Medicaid. Opportunities to provide increased preventive care for perinatal mood disorders and smoking cessation also exist. Further, this policy may reduce the burden of late maternal mortality. While improved access to contraceptive service postpartum provides a potential mechanism by which birth outcomes may improve, the effect of this policy on NICU admission, low birth weight (LBW) infants, and preterm birth is unknown. We discuss possible birth, infant and maternal health outcomes which may result from this expansion, drawing on data from the 2010 Medicaid Expansion via the Affordable Care Act.

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Fig. 1: Schematic representation of Medicaid insurance eligibility based on pregnancy status.

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Authors and Affiliations

  1. Division of Neonatology, Department of Pediatrics, Maria Fareri Children’s Hospital, New York Medical College, Valhalla, NY, USA

    Shetal Shah

  2. Division of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine, Saint Louis, MO, USA

    Hayley Friedman

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SS wrote the draft of the manuscript, made revisions based on reviewers suggestions and created Fig. 1. HF reviewed several drafts of the manuscript, created Table 1 and made critical revisions of the draft. Medicaid and Moms: The Potential Impact of Extending Medicaid Coverage to Mothers for 1 Year After Delivery. SS MD FAAP, HF MD, FAAP.

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Correspondence to Shetal Shah.

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Shah, S., Friedman, H. Medicaid and moms: the potential impact of extending medicaid coverage to mothers for 1 year after delivery. J Perinatol 42, 819–824 (2022). https://doi.org/10.1038/s41372-021-01299-w

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