Journal ArticleDOI
Local responses to expanded Medicaid coverage for pregnant women.
TLDR
Although prenatal services increased in some areas, significant problems persisted in others and other policies that have been designed to reduce the remaining barriers may be necessary in order significantly to expand access to prenatal care and to improve birth outcomes.Abstract:
Concern about high infant mortality and morbidity in the United States, combined with the erosion of private insurance coverage, sparked major expansions in the Medicaid program in the 1980s. This study examines how the Medicaid expansions for pregnant women affected access to prenatal care for low-income women through case studies conducted in four states early in 1991. Despite the significantly greater share of births covered by Medicaid in the period 1986 to 1991, the timely initiation of prenatal care improved in only one state. Although prenatal services increased in some areas, significant problems persisted in others. The growth in capacity of the prenatal care system was greatest when state and local policies designed to increase supply were also instituted. While the Medicaid expansions eliminated significant barriers to prenatal care for low-income women, other policies that have been designed to reduce the remaining barriers may be necessary in order significantly to expand access to prenatal care and to improve birth outcomes.read more
Citations
More filters
Journal ArticleDOI
Sicker and poorer--the consequences of being uninsured: a review of the research on the relationship between health insurance, medical care use, health, work, and income.
TL;DR: Although all of the studies reviewed suffer from methodological flaws of varying degrees, there is substantial qualitative consistency across studies of different medical conditions conducted at different times and using different data sets and statistical methods.
Closing the quality gap: revisiting the state of the science (vol. 3: quality improvement interventions to address health disparities).
Melissa L McPheeters,Sunil Kripalani,Neeraja B. Peterson,Rachel T Idowu,Rebecca N Jerome,Shannon A Potter,Jeffrey C Andrews +6 more
TL;DR: Overall, QI interventions were not shown to reduce disparities, and some increased effect is seen in disadvantaged populations; these studies should be replicated and the interventions studied further as having potential to address disparities.
Journal ArticleDOI
Did the Medicaid expansions for children displace private insurance? An analysis using the SIPP.
TL;DR: It is found that 23% of the movement from private coverage to Medicaid due to the expansions was attributable to displacement, and there is no evidence of displacement among those starting uninsured, leading to an overall displacement effect of 4%.
Journal ArticleDOI
Poverty, Near-Poverty, and Hardship Around the Time of Pregnancy
Paula Braveman,Kristen S. Marchi,Susan Egerter,Soowon Kim,Marilyn Metzler,Tonya R. Stancil,Moreen L. Libet +6 more
TL;DR: The high prevalence of low income and of serious hardships during pregnancy is of concern, given previous research documenting the adverse health consequences of these experiences and recognition of pregnancy as a critical period for health throughout the life course.
Journal Article
Changes in prenatal care timing and low birth weight by race and socioeconomic status: implications for the Medicaid expansions for pregnant women.
TL;DR: The expansions in Medicaid lead to significant improvements in prenatal care utilization among women of low socioeconomic status, and the emerging lesson from the Medicaid expansions is that increased access to primary care is not adequate if the goal is to narrow the gap in newborn health between poor and nonpoor populations.
References
More filters
Book
Case Study Research: Design and Methods
TL;DR: In this article, buku ini mencakup lebih dari 50 studi kasus, memberikan perhatian untuk analisis kuantitatif, membahas lebah lengkap penggunaan desain metode campuran penelitian, and termasuk wawasan metodologi baru.
Journal ArticleDOI
Access to Prenatal Care Following Major Medicaid Eligibility Expansions
TL;DR: In spite of major Medicaid expansions, access to prenatal care was limited for women without private insurance and financial barriers were salient even when controlling for many factors related to care-seeking behavior.
Journal ArticleDOI
The effect of providing health coverage to poor uninsured pregnant women in Massachusetts.
TL;DR: It is suggested that access to prenatal care may have declined for all women in Massachusetts between 1984 and 1987, and the expansion of health coverage to uninsured low-income pregnant women was not associated with an improvement in access to antenatal care or birth outcomes.