Evidence map›Paper›PMID 35249171›Full record

ArticleMaternal and child health journal2022

Coverage Effects of the ACA's Medicaid Expansion on Adult Reproductive-Aged Women, Postpartum Mothers, and Mothers with Older Children.

Lindsey Rose Bullinger, Kosali Simon, Brownsyne Tucker Edmonds

Abstract read
In one paragraph

Article in Maternal and child health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Medicaid Expansion and Rural-Urban Disparities in Postpartum Medicaid Coverage.Public health reports (Washington, D.C. : 1974) · 2026
    Article
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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

3 authors.

Lindsey Rose BullingerSchool of Public Policy, Georgia Tech, 685 Cherry St., Atlanta, GA, 30332, USA. lrbullin@gatech.edu.ORCID http://orcid.org/0000-0002-7990-7363
Kosali SimonO'Neill School of Public and Environmental Affairs, Indiana University, 1315 East Tenth Street, Bloomington, IN, 47405, USA.
Brownsyne Tucker EdmondsDepartment of Obstetrics and Gynecology, Indiana University School of Medicine, 550 University Blvd., University Hospital 2440, Indianapolis, IN, 46202, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe estimate the effect of the Affordable Care Act's (ACA) Medicaid expansions on Medicaid coverage of reproductive-aged women at varying childbearing stages.

methodsUsing data from the American Community Survey (ACS) (n = 1,977,098) and a difference-in-differences approach, we compare Medicaid coverage among low-income adult women without children, postpartum mothers, and mothers of children older than one year in expansion states to non-expansion states, before and after the expansions.

resultsThe ACA's Medicaid expansion increased Medicaid coverage among adult women with incomes between 101 and 200% of the federal poverty line (FPL) without children by 10.7 percentage points (54 percent, p < 0.01). Coverage of mothers with children older than one year increased by 9.5 percentage points (34 percent, p < 0.01). Coverage of mothers with infants rose by 7.9 percentage points (21 percent, p < 0.01). CONCLUSIONS FOR PRACTICE: Within the population of adult reproductive-aged women, we find a "fanning out" of effects from the ACA's Medicaid expansions. Childless women experience the largest gains in coverage while mothers of infants experience the smallest gains; mothers of children greater than one year old fall in the middle. These results are consistent with ACA gains being the smallest among the groups least targeted by the ACA, but also show substantial gains (one fifth) even among postpartum mothers.

Indexed as

MedicaidPatient Protection and Affordable Care ActAdolescentAdultChildChild, PreschoolFemaleHealth Services AccessibilityHumansInfantInsurance CoverageInsurance, HealthMothersPostpartum PeriodUnited StatesAffordable Care ActHealth insuranceMedicaidPostpartum healthWomen’s health

Identifiers

PMID35249171
PMCPMC8898501

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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.