Evidence map›Paper›PMID 31905073›Full record

ArticleHealth affairs (Project Hope)2020

Effects Of Medicaid Expansion On Postpartum Coverage And Outpatient Utilization.

Sarah H Gordon, Benjamin D Sommers, Ira B Wilson, Amal N Trivedi

Open access · greenAbstract read
In one paragraph

Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
20.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Barriers and Needs for Postpartum Contraception.Maternal and child health journal · 2026
    Article
  9. Article
  10. Medicaid Expansion and Rural-Urban Disparities in Postpartum Medicaid Coverage.Public health reports (Washington, D.C. : 1974) · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Call to Action to Quantify Non-Severe and Severe Maternal Morbidity.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2025
    Article
  15. Article
  16. Ambulatory care utilization in the first 24 months' postpartum by rurality and pregnancy-related conditions: A prospective cohort study from Maine.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  17. Article
  18. Article
  19. Addressing Maternal and Child Health Disparities Through Perinatal Home Visiting.WMJ : official publication of the State Medical Society of Wisconsin · 2024
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Sarah H GordonSarah H. Gordon ( gordonsh@bu. edu ) is an assistant professor in the Department of Health Law, Policy, and Management, Boston University School of Public Health, in Massachusetts.
Benjamin D SommersBenjamin D. Sommers is a professor of health policy and economics in the Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, and a professor of medicine at Brigham and Women's Hospital, both in Boston.
Ira B WilsonIra B. Wilson is a professor in and chair of the Department of Health Services, Policy, and Practice, Brown University School of Public Health, in Providence, Rhode Island.
Amal N TrivediAmal N. Trivedi is a professor in the Department of Health Services, Policy, and Practice, Brown University School of Public Health, and a research investigator at the Providence Veterans Affairs Medical Center.
Boston University · USBrigham and Women's Hospital · USDepartment of Health Services · NPProvidence VA Medical Center · US

Funding

Tracking and Evaluation CoreU54GM115677 · NIGMS · BROWN UNIVERSITY · PI ROUNDS, SHARON IRENE SMITH · 2016 to 2025
$45.0M
The Impact of Medicaid Expansion on Continuity of Coverage and Health Care UtilizationR36HS025560 · AHRQ · BROWN UNIVERSITY · PI GORDON, SARAH HALL · 2017 to 2017
$43k
AHRQ HHS R36 HS025560NIGMS NIH HHS U54 GM115677
6 · The paper itself

Abstract

Timely postpartum care is associated with lower maternal morbidity and mortality, yet fewer than half of Medicaid beneficiaries attend a postpartum visit. Medicaid enrollees are at higher risk of postpartum disruptions in insurance because pregnancy-related Medicaid eligibility ends sixty days after delivery. We used Medicaid claims data for 2013-15 from Colorado, which expanded Medicaid under the Affordable Care Act, and Utah, which did not. We found that after expansion, new mothers in Utah experienced higher rates of Medicaid coverage loss and accessed fewer Medicaid-financed outpatient visits during the six months postpartum, relative to their counterparts in Colorado. The effects of Medicaid expansion on postpartum Medicaid enrollment and outpatient utilization were largest among women who experienced significant maternal morbidity at delivery. These findings provide evidence that expansion may promote the stability of postpartum coverage and increase the use of postpartum outpatient care in the Medicaid program.

Indexed as

Health Services AccessibilityOutpatientsPostpartum PeriodAdultColoradoEligibility DeterminationFemaleHumansInsurance Claim ReviewInsurance CoverageMaternal Health ServicesMedicaidMiddle AgedPatient Acceptance of Health CarePatient Protection and Affordable Care ActPregnancyAccess and useAccess to careAffordable Care ActHealth policyMaternal healthMedicaidMedicaid coverageMedicaid eligibilityMorbidityMortality

Identifiers

PMID31905073
PMCPMC7926836
OpenAlexW2997680007

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.