Evidence map›Paper›PMID 42751818›Full record

ArticleHealth services research2026

The Financial Impact of Pregnancy and Childbirth Among Louisiana Medicaid Beneficiaries.

Brigham Walker, Ethan Tsai, Andrew Anderson, Melissa Evans, Kevin Callison

Abstract read
In one paragraph

Article in Health services research, 2026. 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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1 · What the graph read from it

What it found

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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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Brigham WalkerDepartment of Health Policy and Management, Tulane University, New Orleans, Louisiana, USA.ORCID https://orcid.org/0000-0002-5617-577X
Ethan TsaiDepartment of Health Policy and Management, Tulane University, New Orleans, Louisiana, USA.ORCID https://orcid.org/0000-0003-2997-6456
Andrew AndersonDepartment of Health Policy and Management, Johns Hopkins University, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0001-8562-7694
Melissa EvansDepartment of Social, Behavioral, and Population Science, Tulane University, New Orleans, Louisiana, USA.ORCID https://orcid.org/0000-0002-7669-9482
Kevin CallisonDepartment of Health Policy and Management, Tulane University, New Orleans, Louisiana, USA.ORCID https://orcid.org/0000-0003-4181-7407

Funding

Commonwealth Fund #24-24156
6 · The paper itself

Abstract

objectiveTo measure the impact of pregnancy and childbirth on debt and personal credit scores by race, ethnicity, and geography. STUDY SETTING AND

designWe used Medicaid claims data, credit report data, and the Callaway Sant'Anna difference-in-differences method to compare relative changes in credit score, medical debt, and nonmedical debt between women moving through their pregnancies and women who weren't pregnant. DATA SOURCES AND ANALYTIC SAMPLE: Louisiana Medicaid claims data (January 2017 to December 2020). PRINCIPAL

findingsWhile outcomes were not adversely impacted for non-Hispanic White women, non-Hispanic Black women experienced worsening financial measures following their pregnancies: credit scores decreased from Month 4 to 14 (4 points, 95% CI: -5.65 to -1.81, p < 0.01), medical debt increased from Month 8 to 12 ($41, 95% CI: $6-$75, p = 0.02), and nonmedical debt increased from Month 2 to 21 ($44, 95% CI: $15-$74, p < 0.01).

conclusionsPregnancy and childbirth were associated with worsening financial outcomes among low-income Medicaid-enrolled mothers, particularly among non-Hispanic Black women. These findings highlight the importance of broader economic supports to reduce financial disruption associated with pregnancy and childbirth among low-income families and address disparities in maternal and child well-being.

Indexed as

MedicaidParturitionAdultBlack or African AmericanFemaleHumansLouisianaMedical DebtPregnancySocioeconomic FactorsUnited StateschildbirthcreditdebtMedicaidpregnancy

Identifiers

PMID42751818
PMCPMC13583919

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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.