Denying postpartum sterilization to women with Emergency Medicaid does not reduce hospital charges

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: To assess the change in hospital reimbursement resulting from a 2004 policy requiring immigrants with Emergency Medicaid (EM) to pay for sterilization following vaginal delivery, we examined rates of tubal ligation following vaginal [postpartum bilateral tubal ligation (PPBTL)] and cesarean [cesarean section with bilateral tubal ligation (CSBTL)] deliveries, and compared these to a Standard Medicaid (SM) population unaffected by the policy. Study design: Records of women who delivered at the Oregon Health and Science University between January 2000 and December 2006 were reviewed. Data examined included insurance, mode of delivery, sterilization and net revenue by delivery type. Results: A total of 3612 SM patients and 4220 EM patients delivered in the 5 years before the policy, and 1628 SM patients and 2066 EM patients delivered in the 2 years after the policy. The incidence of PPBTL among EM patients delivering vaginally dropped from 9.9% prepolicy to 0.9% postpolicy (p

Original languageEnglish (US)
Pages (from-to)232-236
Number of pages5
JournalContraception
Volume78
Issue number3
DOIs
StatePublished - Sep 2008

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Hospital Charges
Medicaid
Postpartum Period
Emergencies
Tubal Sterilization
Public Policy
Insurance
Cesarean Section
Incidence
Health

Keywords

  • Contraceptive policy
  • Emergency Medicaid
  • Female sterilization
  • Immigrants
  • Oregon
  • Underinsured

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Denying postpartum sterilization to women with Emergency Medicaid does not reduce hospital charges. / Rodriguez, Maria; Edelman, Alison; Wallace, Neal; Jensen, Jeffrey.

In: Contraception, Vol. 78, No. 3, 09.2008, p. 232-236.

Research output: Contribution to journalArticle

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