Evidence map›Paper›PMID 33523747›Full record

ArticleHealth affairs (Project Hope)2021

Medicaid Payments For Immediate Postpartum Long-Acting Reversible Contraception: Evidence From South Carolina.

Maria W Steenland, Lydia E Pace, Anna D Sinaiko, Jessica L Cohen

Open access · greenAbstract read
In one paragraph

Article in Health affairs (Project Hope), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Maria W SteenlandMaria W. Steenland (maria_steenland@brown.edu) is an assistant professor of population studies in the Population Studies and Training Center at Brown University, in Providence, Rhode Island.
Lydia E PaceLydia E. Pace is an assistant professor in the Division of Women's Health, Brigham and Women's Hospital, and an assistant professor in medicine at Harvard Medical School, in Boston, Massachusetts.
Anna D SinaikoAnna D. Sinaiko is an assistant professor of health economics and policy in the Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, in Boston, Massachusetts.
Jessica L CohenJessica L. Cohen is the Bruce A. Beal, Robert L. Beal, and Alexander S. Beal Associate Professor of Global Health in the Department of Global Health and Population, Harvard T. H. Chan School of Public Health.
Brigham and Women's Hospital · USBrown University · USDepartment of Health · ESHarvard Global Health Institute · US

Funding

Science/Technical CoreP2CHD041020 · NICHD · BROWN UNIVERSITY · PI Margot Jackson · 2016 to 2026
$7.6M
TRAINING IN DEMOGRAPHYT32HD007338 · NICHD · BROWN UNIVERSITY · PI ANDREW D. FOSTER · 1987 to 2026
$7.0M
Postpartum factors affecting birth spacing and health outcomesR03HD099428 · NICHD · BROWN UNIVERSITY · PI STEENLAND, MARIA WARD · 2020 to 2021
$195k
NICHD NIH HHS P2C HD041020NICHD NIH HHS R03 HD099428NICHD NIH HHS T32 HD007338
6 · The paper itself

Abstract

In 2012 South Carolina's Medicaid program was the first state Medicaid program to separate payment for the immediate postpartum placement of long-acting reversible contraception (intrauterine devices and contraceptive implants) from its global maternity payment. Examining data on all Medicaid-insured South Carolina women giving birth from 2010 to 2014, we found that the new policy achieved its explicit goal: increasing the availability of immediate postpartum long-acting reversible contraception. Among adolescents, for whom most pregnancies are unintended, this represented new use of long-acting reversible options, rather than substitution for sterilization or for short-acting reversible methods. Therefore, the new policy also significantly increased use of highly effective postpartum contraception in an age group that is particularly vulnerable to closely spaced, higher-risk repeat pregnancies. However, fewer than half of facilities began to offer immediate postpartum long-acting reversible contraceptives after the policy change. Additional policy approaches may be needed to achieve widespread availability of this option.

Indexed as

Long-Acting Reversible ContraceptionAdolescentContraceptionFemaleHumansMedicaidPostpartum PeriodPregnancySouth CarolinaUnited States

Identifiers

PMID33523747
PMCPMC9555010
OpenAlexW3126651249

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.