Evidence map›Paper›PMID 38605588›Full record

ArticlePerspectives on sexual and reproductive health2024

Patient experiences using public and private insurance coverage for abortion in Illinois: Implementation successes and remaining gaps.

Madeline Quasebarth, Madeleine Boesche, Tecora Turner, Amy Moore, Danielle Young, Debra Stulberg, Lee Hasselbacher

Abstract read
In one paragraph

Article in Perspectives on sexual and reproductive health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Making sense of the economics of abortion in the United States.Perspectives on sexual and reproductive health · 2024
    Article
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

7 authors.

Madeline QuasebarthCi3, Department of Obstetrics and Gynecology, University of Chicago, Chicago, Illinois, USA.
Madeleine BoescheCrown Family School of Social Work, Policy, and Practice, University of Chicago, Chicago, Illinois, USA.
Tecora TurnerPritzker School of Medicine, University of Chicago, Chicago, Illinois, USA.
Amy MooreCi3, Department of Obstetrics and Gynecology, University of Chicago, Chicago, Illinois, USA.
Danielle YoungPlanned Parenthood of Illinois, Chicago, Illinois, USA.
Debra StulbergDepartment of Family Medicine, University of Chicago, Chicago, Illinois, USA.
Lee HasselbacherCi3, Department of Obstetrics and Gynecology, University of Chicago, Chicago, Illinois, USA.

Funding

Society of Family Planning
6 · The paper itself

Abstract

contextInsurance coverage for abortion in states where care remains legal can alleviate financial burdens for patients and increase access. Recent policy changes in Illinois required Medicaid and some private insurance plans to cover abortion care. This study explores policy implementation from the perspectives of patients using their insurance to obtain early abortion care. METHODOLOGY: Between July 2021 and February 2022, we interviewed Illinois residents who recently sought abortion care at ≤11 weeks of pregnancy. We also interviewed nine key informants with experience providing or billing for abortion or supporting insurance policy implementation in Illinois. We coded interview transcripts in Dedoose and developed code summaries to identify salient themes across interviews.

resultsMost participants insured by Illinois Medicaid or eligible for enrollment received full coverage for their abortions; most with private insurance did not and faced challenges learning about coverage status. Some opted not to use insurance, often citing privacy concerns. Participants who benefited from abortion coverage expressed relief, gave examples of other financial challenges they could prioritize, and described feeling in control of their abortion experience. Those without coverage described feeling stressed, uncertain, and constrained in their decision-making.

conclusionWhen abortion was fully covered by insurance, it reduced financial burdens and enhanced reproductive autonomy. Illinois Medicaid policy-with seamless enrollment options and appropriate reimbursement rates-offers a model for improving abortion access in other states. Further investigation is needed to determine compliance among private insurance companies and increase transparency.

Indexed as

Abortion, InducedInsurance CoverageInsurance, HealthMedicaidAdolescentAdultFemaleHealth Services AccessibilityHumansIllinoisPregnancyUnited StatesYoung Adultabortiondomesticlaw/legal issuespolicyqualitative research methodsUnited States

Identifiers

PMID38605588
PMCPMC11606005

What OpenQuestion holds

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LicenceCC BY
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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.