Affordable Care Act Medicaid expansions and maternal morbidity.
Affordable Care Act
Medicaid
severe maternal morbidity
Journal
Health economics
ISSN: 1099-1050
Titre abrégé: Health Econ
Pays: England
ID NLM: 9306780
Informations de publication
Date de publication:
10 2023
10 2023
Historique:
revised:
18
05
2023
received:
02
01
2023
accepted:
06
06
2023
medline:
4
9
2023
pubmed:
7
7
2023
entrez:
7
7
2023
Statut:
ppublish
Résumé
In this paper, we test whether the Affordable Care Act Medicaid expansions are associated with maternal morbidity. The ACA expansions may have affected maternal morbidity by increasing pre-conception access to health care, and by improving the quality of delivery care, through enhancing hospitals' financial positions. We use difference-in-difference models in conjunction with event studies. Data come from individual-level birth certificates and state-level hospital discharge data. The results show little evidence that the expansions are associated with overall maternal morbidity or indicators of specific adverse events including eclampsia, ruptured uterus, and unplanned hysterectomy. The results are consistent with prior research showing that the ACA Medicaid expansions are not statistically associated with pre-pregnancy health or maternal health during pregnancy. Our results add to this story and find little evidence of improvements in maternal health upon delivery.
Identifiants
pubmed: 37417880
doi: 10.1002/hec.4724
pmc: PMC10691745
mid: NIHMS1925162
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
2334-2352Subventions
Organisme : NIA NIH HHS
ID : P30 AG066583
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG055481
Pays : United States
Organisme : NICHD NIH HHS
ID : R03 HD100709
Pays : United States
Informations de copyright
© 2023 John Wiley & Sons Ltd.
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