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Related Experiment Videos

Women In The United States Experience High Rates Of Coverage 'Churn' In Months Before And After Childbirth.

Jamie R Daw1, Laura A Hatfield2, Katherine Swartz3

  • 1Jamie R. Daw (jdaw@fas.harvard.edu) is a PhD candidate in the Department of Health Care Policy at Harvard Medical School, in Boston, Massachusetts.

Health Affairs (Project Hope)
|April 5, 2017
PubMed
Summary

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Insurance coverage changes around childbirth are common. Many women lose health insurance after delivery, increasing risks for care continuity, especially for those with Medicaid or CHIP.

Area of Science:

  • Health Services Research
  • Maternal Health
  • Health Insurance Policy

Background:

  • Insurance transitions, or "churn," before and after childbirth can negatively impact care continuity and quality.
  • Limited data exists on health coverage patterns and changes for women in the U.S. during the perinatal period.

Purpose of the Study:

  • To analyze insurance coverage dynamics for women giving birth in the United States.
  • To identify patterns of insurance transitions and coverage gaps before and after delivery.

Main Methods:

  • Utilized nationally representative survey data from 2005-2013.
  • Examined insurance status in the nine months preceding delivery and the six months following delivery.

Main Results:

Keywords:
Health ReformInsurance Coverage < InsuranceMaternal And Child Health

Related Experiment Videos

  • High rates of insurance transitions were observed before and after childbirth.
  • Half of uninsured women gained Medicaid or Children's Health Insurance Program (CHIP) coverage by delivery, but 55% experienced a gap within six months postpartum.
  • Risk factors for postpartum insurance loss included non-English primary language, unmarried status, Medicaid/CHIP at delivery, Southern residence, and family income between 100-185% of the poverty level.

Conclusions:

  • Coverage disruptions are prevalent for childbearing women in the U.S.
  • Policies promoting continuous coverage for pregnant and postpartum women, especially those eligible for pregnancy-related Medicaid, are recommended to mitigate adverse effects on care.