ReviewPublic health in practice (Oxford, England)2025
Medicaid reimbursement policies for long-acting reversible contraceptives immediately postpartum: A systematic literature review.
Review in Public health in practice (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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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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0 citing papers in PubMed.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: Medicaid reimbursement for long-acting reversible contraceptives provisioned immediately postpartum (IPP-LARC) has historically been included as part of the diagnosis-related group (DRG) fee for delivery. To rectify this financial disincentive, policies to reimburse hospitals for IPP-LARC, supplemental to the DRG fee, were implemented. This review synthesizes the impact of these policies. Study design: Systematic literature review. Methods: A search in Medline, EMBASE, and CINAHL was executed on November 21, 2022. Impacts on uptake of IPP-LARC, short-interval pregnancy, and author conclusions were synthesized. Results: Twenty studies reporting on Medicaid reimbursement policies across 15 states were included. The average age of women across study populations ranged from 22.2 to 31.0 years; populations were racially, and ethnically diverse; primarily urban hospitals were included. Sixteen studies reported on uptake and 7 studies reported on birth outcomes. Statistically significant increases in uptake after policy implementation were reported in 9 studies across Delaware, Georgia, New York, Rhode Island, Wisconsin, Washington, Louisiana, Missouri, and South Carolina. Policy implementation in South Carolina and Ohio resulted in significantly lower rates of short-interval pregnancy, as reported in 6 studies. Smaller, rural, and religiously affiliated hospitals were significantly less likely to leverage Medicaid policies for IPP-LARC. Key determinants of increased uptake were provider champion advocacy, co-interventions for training hospital staff, and relieving the up-front financial burden associated with stocking LARCs. Conclusions: Medicaid reimbursement policies targeting IPP-LARC access are associated with increased adoption and reduced short-interval pregnancy. Co-interventions supporting hospitals and individuals who are immediately postpartum would further facilitate IPP-LARC access.
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