Evidence map›Paper›PMID 39212977›Full record

ArticleJAMA health forum2024

Twelve-Month Contraceptive Supply Policies and Medicaid Contraceptive Dispensing.

Maria I Rodriguez, Thomas H A Meath, Ashley Daly, Kelsey Watson, K John McConnell, Hyunjee Kim

Abstract read
In one paragraph

Article in JAMA health forum, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Maria I RodriguezCenter for Reproductive Health Equity, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland.
Thomas H A MeathCenter for Health Systems Effectiveness, Oregon Health & Science University, Portland.
Ashley DalyCenter for Health Systems Effectiveness, Oregon Health & Science University, Portland.
Kelsey WatsonCenter for Health Systems Effectiveness, Oregon Health & Science University, Portland.
K John McConnellCenter for Health Systems Effectiveness, Oregon Health & Science University, Portland.
Hyunjee KimCenter for Health Systems Effectiveness, Oregon Health & Science University, Portland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Nineteen states have passed legislation requiring insurers to cover the dispensation of a 12-month supply of short-acting, hormonal contraception. Objective: To determine whether 12-month contraceptive supply policies were associated with an increase in the receipt of 12-month or longer supply of contraception. Design, Setting, and Participants: This retrospective cohort study included data from all female Medicaid enrollees aged 18 to 44 years who used short-acting hormonal contraception (ie, pill, patch, or ring) from 2016 to 2020. Exposures: Eleven treatment states where legislation required insurers to cover a 12-month supply of contraception to continuing users and 25 comparison states without such legislation prior to December 2020. Main Outcomes and Measures: Proportion of contraception months received via a single 12-month or longer fill. Results: This study included 48 255 512 months of dispensed oral pill, patch, and ring contraception prescription supply among 4 778 264 female Medicaid enrollees. The majority of months of supplied contraception were for the contraceptive pill rather than the patch or ring. In a staggered difference-in-differences model, the 12-month supply policy was associated with an estimated 4.39-percentage point (pp) increase (95% CI, 4.38 pp-4.40 pp) in the proportion of contraception dispensed as part of a 12-month or longer supply, from a mean of 0.11% in treatment states during the first quarter of the study period. Investigating the heterogeneity in policy association across states, California stood out with a 7.17-pp increase (95% CI, 7.15 pp-7.19 pp) in the proportion of contraception dispensed as a 12-month or longer supply; in the other 10 treatment states, the policy association was less than 1 pp. Conclusions and Relevance: In this cohort study of Medicaid recipients using short-acting hormonal contraception, the passage of a 12-month contraceptive supply policy was associated with a minimal increase in the proportion of contraception dispensed through a 12-month or longer supply.

Indexed as

MedicaidAdolescentAdultContraceptionFemaleHealth PolicyHumansRetrospective StudiesTime FactorsUnited StatesYoung Adult

Identifiers

PMID39212977
PMCPMC11364992

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Registered trials

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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.