Evidence map›Paper›PMID 42213013›Full record

ArticleAmerican journal of preventive medicine2026

Association of Continuous Medicaid Eligibility With Postpartum Coverage and Opioid Use Disorder Treatment.

Breanne E Biondi, Paul R Shafer, Rachel L Epstein, Michael D Stein, Jamie R Daw, Sarah H Gordon

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Breanne E BiondiCrown Family School of Social Work, Policy, and Practice, The University of Chicago, Chicago, Illinois. Electronic address: bebiondi@uchicago.edu.
Paul R ShaferDepartment of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts.
Rachel L EpsteinSection of Infectious Diseases, Department of Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts; Department of Pediatrics, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts.
Michael D SteinDepartment of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts.
Jamie R DawDepartment of Health Policy and Management, Columbia University Mailman School of Public Health, New York, New York.
Sarah H GordonDepartment of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts.

Funding

Project-005UL1TR001430 · NCATS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BAIR-MERRITT, MEGAN H, CENTER, DAVID M. · 2015 to 2024
$52.3M
Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH, DEBBIE M. CHENG · 1998 to 2026
$51.7M
Utilization of health services after engagement with opioid use disorder (OUD) treatment provider by individuals with and without post-traumatic stress disorderP30DA040500 · NIDA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Yuhua Bao · 2015 to 2026
$20.7M
Integrated Care for Addiction, HIV and HCV Research and Education (ICAHRE)T32DA041898 · NIDA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Rachel Sayko Adams, Michael D Stein · 2017 to 2026
$3.8M
Perinatal care as a venue to reduce opioid overdoses and hepatitis C virus incidence (PreVenT OD HCV)K01DA052821 · NIDA · BOSTON MEDICAL CENTER · PI Rachel Lee Epstein · 2022 to 2026
$959k
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
NCATS NIH HHS UL1 TR001430NIAID NIH HHS P30 AI042853NIDA NIH HHS K01 DA052821NIDA NIH HHS P30 DA040500NIDA NIH HHS T32 DA041898NIMH NIH HHS K01 MH127253
6 · The paper itself

Abstract

introductionOver three quarters of pregnant people with opioid use disorder are enrolled in Medicaid at delivery, but pregnancy-related Medicaid eligibility has historically ended 60 days postpartum, leading to periods without insurance and decreased access to health care during the first year postpartum. The Families First Coronavirus Response Act, passed in March 2020, prevented states from disenrolling Medicaid enrollees, including postpartum enrollees, during the COVID-19 Public Health Emergency.

methodsA difference-in-difference model was used to compare the continuity of coverage among postpartum persons with opioid use disorder in Medicaid versus commercial insurance before and after the Families First Coronavirus Response Act . A segmented regression model was used to assess medication for opioid use disorder retention (at 6 and 12 months) among those with Medicaid at delivery before (2016-2019) versus after Families First Coronavirus Response Act (2020-2022).

resultsAmong deliveries from 2016 to 2022, 1,435 (10.2%) were enrolled in commercial insurance, and 12,567 (89.8%) were in Medicaid. In the pre-Families First Coronavirus Response Act period, 60.0% of commercially insured and 63.5% of Medicaid-insured deliveries remained enrolled through 12-months postpartum. In adjusted analyses, the Families First Coronavirus Response Act was associated with a 23.2 percentage-point (95% CI=17.6%, 28.8%) increase in 12-month continuous Medicaid coverage compared with that among commercially insured individuals. Among Medicaid enrollees, medication for opioid use disorder retention increased by 14.4 (95% CI=8.2, 20.6) and 16.3 (95% CI=10.1, 22.5) percentage points (level change) in 6- and 12-month medication for opioid use disorder retention, respectively, after the Families First Coronavirus Response Act.

conclusionsIn this observational study, the Families First Coronavirus Response Act was associated with increased health insurance stability and improved medication for opioid use disorder retention among postpartum Medicaid beneficiaries with opioid use disorder. These findings suggest that postpartum Medicaid extensions, implemented in 49 states and Washington, DC, could help increase insurance coverage stability and medication for opioid use disorder use for this high-risk population.

Indexed as

Eligibility DeterminationInsurance CoverageMedicaidOpioid-Related DisordersPostpartum PeriodAdultCOVID-19FemaleHealth Services AccessibilityHumansInsurance, HealthPregnancyUnited States

Identifiers

PMID42213013
PMCPMC13559771

What OpenQuestion holds

Textmetadata
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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.