Pregnancy medicaid improvements in a nonexpansion state after the affordable care act

Jonas J. Swartz, Joseph Meskey, Gretchen S. Stuart, Maria I. Rodriguez

Research output: Contribution to journalArticlepeer-review

Abstract

One-half of women in the United States use Medicaid during pregnancy. Women living in states that did not expand Medicaid under the Patient Protection and Affordable Care Act (ACA) are at risk of losing coverage post partum. We ana-lyzed Medicaid claims and vital statistics for the state of North Carolina for the period 2011 to 2017. North Carolina did not expand Medicaid but did alter Medicaid enrollment to meet ACA requirements. After implementation, enrollment in full Medicaid during pregnancy almost doubled, and enrollment in Medicaid for pregnant women decreased. Full Medicaid offers more comprehensive coverage and does not expire at 60 days post partum, allowing for access to crucial preventive health services including contraception and primary care.

Original languageEnglish (US)
Pages (from-to)38-40
Number of pages3
JournalAnnals of family medicine
Volume19
Issue number1
DOIs
StatePublished - 2021

Keywords

  • ACA
  • Affordable Care Act
  • Contraception
  • Medicaid expansion
  • Patient Protection and Affordable Care Act
  • Postpartum coverage
  • Preventive health services

ASJC Scopus subject areas

  • Family Practice

Fingerprint

Dive into the research topics of 'Pregnancy medicaid improvements in a nonexpansion state after the affordable care act'. Together they form a unique fingerprint.

Cite this