ArticlePublic health reports (Washington, D.C. : 1974)
Classification of Medicaid Coverage on Birth Records in Wisconsin, 2011-2012.
Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Medicaid Continuous Coverage Requirement and Postpartum Hospitalization.JAMA health forum · 2026Article
- Maternal opioid use disorder and infant mortality in Wisconsin, United States, 2010-2018.Preventive medicine · 2024Article
- Fertility rates in women with intellectual and developmental disabilities in Wisconsin Medicaid.Disability and health journal · 2022Article
- Risk Factors for Dual Burden of Severe Maternal Morbidity and Preterm Birth by Insurance Type in California.Maternal and child health journal · 2022Article
- Birth outcomes affecting infants of mothers with intellectual and developmental disabilities.Paediatric and perinatal epidemiology · 2021Article
- Pregnancy complications and maternal birth outcomes in women with intellectual and developmental disabilities in Wisconsin Medicaid.PloS one · 2020Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
objectivesIn 2011, Wisconsin introduced the 2003 Revision of the US Standard Certificate of Live Birth, which includes a variable for principal payer. This variable could help in estimating Medicaid coverage for delivery services, but its accuracy in most states is not known. Our objective was to validate Medicaid payer classification on Wisconsin birth records.
methodsWe linked 128 141 Wisconsin birth records (2011-2012 calendar years) to 54 600 Medicaid claims. Using claims as the gold standard, we measured the payer variable's validity (sensitivity, specificity, positive predictive value [PPV], negative predictive value [NPV]) overall and by maternal age, race/ethnicity, education, facility delivery volume, and the Medicaid proportion of facility delivery volume. Multivariable log-binomial regression tested the association between each characteristic and payer misclassification among Medicaid-paid births.
resultsOf 128 141 birth records, 50 652 (39.5%) indicated Medicaid as the principal payer and 54 600 (42.6%) linked to a Medicaid claim. The birth record misclassified 10 007 of 54 600 (18.3%) Medicaid-paid births as non-Medicaid and 6059 of 73 541 (8.2%) non-Medicaid births as Medicaid-paid. The payer variable was less sensitive (81.7%) than specific (91.8%), and PPV and NPV were similar (∼88%). Sensitivity was highest among mothers who were Hispanic, had no high school diploma, or delivered in Medicaid-majority delivery facilities. Maternal age ≥40, maternal education >high school, and delivering in a non-Medicaid-majority delivery facility were positively associated with payer misclassification among Medicaid-paid births.
conclusionDifferential misclassification of principal payer in the birth record may bias risk surveillance of Medicaid deliveries.
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