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. 2021 Jan 4;4(1):e2034549.
doi: 10.1001/jamanetworkopen.2020.34549.

Insurance Coverage and Perinatal Health Care Use Among Low-Income Women in the US, 2015-2017

Lindsay K Admon  1 , Jamie R Daw  2 , Tyler N A Winkelman  3 , Katy Backes Kozhimannil  4 , Kara Zivin  1   5 , Michele Heisler  6 , Vanessa K Dalton  1
Affiliations

Insurance Coverage and Perinatal Health Care Use Among Low-Income Women in the US, 2015-2017

Lindsay K Admon et al. JAMA Netw Open. .

Abstract

This cross-sectional study uses 2015-2017 data from the Pregnancy Risk Surveillance and Monitoring System to examine the association between health insurance coverage and use of perinatal health care among low-income women in the US.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Admon reported receiving grants from the Health Resources and Services Administration (HRSA) during the conduct of the study. Dr Winkelman reported receiving grants from the HRSA during the conduct of the study. Dr Dalton reported receiving grants from the HRSA during the conduct of the study, receiving personal fees from Bind and Merck outside the submitted work, and receiving grant funding from the National Institutes of Health (NIH), Laura and John Arnold Foundation, National Institute for Reproductive Health, and Blue Cross Blue Shield Foundation; being a paid contributing editor for The Medical Letter and an author for UpToDate; and participating on study sections for the NIH and Agency for Healthcare Research and Quality. No other disclosures were reported.

Figures

Figure.
Figure.. Perinatal Health Care Use by Insurance Coverage Pattern Among Low-Income Women
Data are from the Pregnancy Risk Assessment Monitoring System, 2015-2017 (N = 39 378) and are presented as weighted proportions.
See this image and copyright information in PMC

References

    1. D’Angelo DV, Le B, O’Neil ME, et al. ; Centers for Disease Control and Prevention (CDC) . Patterns of health insurance coverage around the time of pregnancy among women with live-born infants—Pregnancy Risk Assessment Monitoring System, 29 states, 2009. MMWR Surveill Summ. 2015;64(4):1-19. - PMC - PubMed
    1. Daw JR, Kozhimmanil KB, Admon LK High rates of perinatal insurance churn persist after the ACA. Health Affairs Blog September 16, 2019. Accessed November 16, 2020. https://www.healthaffairs.org/do/10.1377/hblog20190913.387157/full/ - DOI
    1. Daw JR, Winkelman TNA, Dalton VK, Kozhimannil KB, Admon LK. Medicaid expansion improved perinatal insurance continuity for low-income women. Health Aff (Millwood). 2020;39(9):1531-1539. doi: 10.1377/hlthaff.2019.01835 - DOI - PubMed
    1. Shulman HB, D’Angelo DV, Harrison L, Smith RA, Warner L. The Pregnancy Risk Assessment Monitoring System (PRAMS): overview of design and methodology. Am J Public Health. 2018;108(10):1305-1313. doi: 10.2105/AJPH.2018.304563 - DOI - PMC - PubMed
    1. Kaiser Family Foundation Medicaid and CHIP income eligibility limits for pregnant women as a percent of the federal poverty level. January 1, 2020. Accessed December 9, 2020. https://www.kff.org/health-reform/state-indicator/medicaid-and-chip-inco...

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