Evidence map›Paper›PMID 40135503›Full record

ArticleHealth services research2025

Association of COVID-19 Continuous Enrollment With Self-Reported Postpartum Medicaid Continuity and Coverage Inequities.

Erica L Eliason, Sarah H Gordon, Maria W Steenland

Abstract read
In one paragraph

Article in Health services research, 2025. 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.

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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.

Erica L EliasonCenter for State Health Policy, Rutgers University, New Brunswick, New Jersey, USA.ORCID https://orcid.org/0000-0002-5246-3176
Sarah H GordonDepartment of Health Law, Policy & Management, Boston University School of Public Health, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0003-4743-2014
Maria W SteenlandPopulation Studies and Training Center, Brown University, Providence, Rhode Island, USA.

Funding

Science/Technical CoreP2CHD041020 · NICHD · BROWN UNIVERSITY · PI ZHENCHAO QIAN · 2016 to 2026
$7.6M
The Effects of the Medicaid Continuous Coverage Requirement during the Public Health Emergency on Postpartum Coverage and Maternal and Infant Care after ChildbirthR00HD111622 · NICHD · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI Erica L Eliason · 2024 to 2026
$747k
The Effects of Postpartum Medicaid Policies on Postpartum Depression Care Among Low-Income WomenK01MH127253 · NIMH · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Sarah Hall Gordon · 2022 to 2026
$723k
The Effects of the Medicaid Continuous Coverage Requirement during the Public Health Emergency on Postpartum Coverage and Maternal and Infant Care after ChildbirthK99HD111622 · NICHD · BROWN UNIVERSITY · PI ELIASON, ERICA L · 2023 to 2024
$228k
AHRQ HHS K01 HS027464AHRQ HHS K01HS027464Commonwealth FundEunice Kennedy Shriver National Institute of Child Health and Human Development P2CHD041020National Institute for Dental and Craniofacial ResearchNational Institute for General Medical SciencesNational Institute of Mental Health, NICHDNational Institute of Minority Health and Health DisparitiesNICHD NIH HHS K99 HD111622NICHD NIH HHS P2C HD041020NICHD NIH HHS R00 HD111622NIMH NIH HHS K01 MH127253Robert Wood Johnson Foundation
6 · The paper itself

Abstract

objectiveTo examine the impact of extended postpartum Medicaid eligibility under the Families First Coronavirus Response Act (FFCRA) on self-reported postpartum insurance status among prenatal Medicaid recipients, and differences by state Medicaid expansion status and race, and ethnicity. STUDY SETTING AND

designWe used a global polynomial linear regression discontinuity design (RDD) approach to estimate the effect of extended postpartum Medicaid eligibility during the FFCRA on changes in self-reported postpartum Medicaid, private coverage, and uninsurance. This approach compares individuals who gave birth before FFCRA exposure with those who gave birth during extended postpartum Medicaid eligibility, using birth timing to determine FFCRA exposure. We estimated RDD models overall, by state Medicaid expansion status, and by race and ethnicity. DATA SOURCES AND ANALYTIC SAMPLE: This study used 2018-2021 Pregnancy Risk Assessment Monitoring System data, a multi-state survey of individuals with a recent live birth, and a sample of prenatal Medicaid recipients age 20 or older in 29 study jurisdictions. PRINCIPAL

findingsIn adjusted RDD models, extended Medicaid eligibility was associated with a 10.7 percentage point (pp) (95% CI: 8.7, 12.6) increase in postpartum Medicaid, a 3.5 pp (95% CI: -5.2, -1.8) decrease in postpartum private coverage, and a 6.5 pp (95% CI: -8.0, -5.0) decrease in postpartum uninsurance. In stratified RDD models, we found larger increases in postpartum Medicaid and larger decreases in uninsurance in non-expansion states than in Medicaid expansion states. In RDD models by race and ethnicity, we found similar increases in postpartum Medicaid and similar decreases in postpartum uninsurance among non-Hispanic Black respondents, Hispanic respondents, and non-Hispanic White respondents.

conclusionsWe found significant improvements in postpartum Medicaid continuity and reductions in uninsurance during extended postpartum Medicaid eligibility. Postpartum Medicaid extensions under the American Rescue Plan could help maintain some coverage gains under the FFCRA.

Indexed as

COVID-19Insurance CoverageMedicaidPostpartum PeriodAdultEligibility DeterminationFemaleHumansPregnancySARS-CoV-2Self ReportUnited StatesYoung AdultCOVID‐19health equityhealth insuranceMedicaidmedically uninsuredpostpartum period

Identifiers

PMID40135503
PMCPMC12277109

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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.