ArticleHealth services research2021
Medicaid expansions, preconception insurance, and unintended pregnancy among new parents.
Article in Health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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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.
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.
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Who cites it
17 citing papers in PubMed, 26 citations in OpenAlex.
- Future reproductive outcomes and contraceptive access in the first year postpartum after non-receipt of postpartum permanent contraception.Contraception · 2025Article
- State reproductive rights policies and unintended pregnancy.Pregnancy (Hoboken, N.J.) · 2025Article
- Racial and Socioeconomic Disparities in Preconception Health Risk Factors and Access to Care.Journal of women's health (2002) · 2024Article
- Expanding comprehensive pregnancy care for Emergency Medicaid recipients: a cost-effectiveness analysis.American journal of obstetrics & gynecology MFM · 2024Article
- Insurance coverage and discontinuity during pregnancy: Frequency and associations documented in the PROMISE cohort.Health services research · 2024Article
- Continuous Medicaid Eligibility During the COVID-19 Pandemic and Postpartum Coverage, Health Care, and Outcomes.JAMA health forum · 2024Article
- Structural barriers to health care as risk factors for preterm and small-for-gestational-age birth among US-born Black and White mothers.Health & place · 2024Article
- Affordable Care Act Medicaid expansions and maternal morbidity.Health economics · 2023Article
- Medicaid Expansion Led To Reductions In Postpartum Hospitalizations.Health affairs (Project Hope) · 2023Article
- Presumptive eligibility for pregnancy Medicaid and timely prenatal care access.Health services research · 2022Article
- Analysis of State Medicaid Expansion and Access to Timely Prenatal Care Among Women Who Were Immigrant vs US Born.JAMA network open · 2022Article
- Association of the affordable care act Medicaid expansions with postpartum contraceptive use and early postpartum pregnancy.Contraception · 2022Article
- Coverage Effects of the ACA's Medicaid Expansion on Adult Reproductive-Aged Women, Postpartum Mothers, and Mothers with Older Children.Maternal and child health journal · 2022Article
- Association of Prenatal Care Expansion With Use of Antidiabetic Agents During Pregnancies Among Latina Emergency Medicaid Recipients With Gestational Diabetes.JAMA network open · 2022Article
- Medicaid expansions, preconception insurance, and unintended pregnancy among new parents.Health services research · 2021Article
- Article
- Association of Medicaid Expansion Under the Affordable Care Act With Medicaid Coverage in the Prepregnancy, Prenatal, and Postpartum Periods.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the relationship between recent changes in Medicaid eligibility and preconception insurance coverage, pregnancy intention, health care use, and risk factors for poor birth outcomes among first-time parents. DATA SOURCE: This study used individual-level data from the national Pregnancy Risk Assessment Monitoring System (2006-2017), which surveys individuals who recently gave birth in the United States on their experiences before, during, and after pregnancy. STUDY
designOutcomes included preconception insurance status, pregnancy intention, stress from bills, early prenatal care, and diagnoses of high blood pressure and diabetes. Outcomes were regressed on an index measuring Medicaid generosity, which captures the fraction of female-identifying individuals who would be eligible for Medicaid based on state income eligibility thresholds, in each state and year. DATA COLLECTION/EXTRACTION
methodsThe sample included all individuals aged 20-44 with a first live birth in 2009-2017. PRINCIPAL
findingsAmong all first-time parents, a 10-percentage point (ppt) increase in Medicaid generosity was associated with a 0.7 ppt increase (P = 0.017) in any insurance coverage and a 1.5 ppt increase (P < 0.001) in Medicaid coverage in the month before pregnancy. We also observed significant increases in insurance coverage and early prenatal care and declines in stress from bills and unintended pregnancies among individuals with a high-school degree or less.
conclusionsIncreasing Medicaid generosity for childless adults has the potential to improve insurance coverage in the critical period before pregnancy and help improve maternal outcomes among first-time parents.
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What OpenQuestion holds
Registered trials
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.