Medicaid Covered Births, 2008 Through 2010, in the Context of the Implementation of Health Reform
Medicaid Covered Births, 2008 Through 2010, in the Context of the Implementation of Health Reform
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DOI：
10.1016/j.whi.2013.06.006
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发表时间：
2013-09-01
影响因子：
3.2
通讯作者：
Pellegrini, Cynthia
中科院分区：
文献类型：
--
作者：
Markus, Anne Rossier;Andres, Ellie;Pellegrini, Cynthia
背景：医疗补助是美国孕妇和分娩公共卫生保健融资的主要来源。从2014年开始，一些州将把医疗补助扩大到数千名以前没有保险的低收入妇女。鉴于这种不断变化的格局，重要的是要有一个基线，目前的医疗补助资助水平的出生在每个国家。本文旨在1）提供所有州、哥伦比亚特区和波多黎各的最新多年数据; 2）鉴于对项目绩效和影响评估的兴趣日益增加，总结数据可比性问题。我们收集了2008-2010年2012 - 2013年冬季各州接触者的医疗补助出生数据，结果：在2010年，医疗补助资助所有出生的48%，在2008年由医疗补助覆盖的所有出生的比例增加了19%。各州的收入各不相同。许多数据的挑战被发现。结论/研究和政策的影响：一致通过2003年出生证明在所有国家将允许国家卫生统计中心出生详细数据集作为一个全国代表性的数据来源，在美国出生的资金。随着各州将保险范围扩大到低收入妇女，育龄妇女将能够在怀孕前和怀孕之间获得保险，从而能够获得可以改善其整体健康和生殖健康以及生育结果的服务。改善分娩结果可以转化为大量的成本节约，因为与早产相关的成本估计是足月分娩成本的10倍。版权所有（C）2013由雅各布妇女健康研究所。爱思唯尔公司出版
Background: Medicaid is a major source of public health care financing for pregnant women and deliveries in the United States. Starting in 2014, some states will extend Medicaid to thousands of previously uninsured, low-income women. Given this changing landscape, it is important to have a baseline of current levels of Medicaid financing for births in each state. This article aims to 1) provide up-to-date, multiyear data for all states, the District of Columbia, and Puerto Rico and 2) summarize issues of data comparability in view of increased interest in program performance and impact assessment.Methods: We collected 2008-2010 data on Medicaid births from individual state contacts during the winter of 20122013, systematically documenting sources and challenges.Findings: In 2010, Medicaid financed 48% of all births, an increase of 19% in the proportion of all births covered by Medicaid in 2008. Percentages varied among states. Numerous data challenges were found.Conclusions/Implications for Research and Policy: Consistent adoption of the 2003 birth certificate in all states would allow the National Center for Health Statistics Natality Detail dataset to serve as a nationally representative source of data for the financing of births in the United States. As states expand coverage to low-income women, women of childbearing age will be able to obtain coverage before and between pregnancies, allowing for access to services that could improve their overall and reproductive health, as well as birth outcomes. Improved birth outcomes could translate into substantial cost savings, because the costs associated with preterm births are estimated to be 10 times greater than those for full-term births. Copyright (C) 2013 by the Jacobs Institute of Women's Health. Published by Elsevier Inc.