Examining the role of pregnancy coverage in preventing poor obstetric outcomes among Latina immigrants

项目摘要 整个怀孕期间的全面护理通过识别和评估孕妇和婴儿的健康状况来促进母婴健康。 预防妊娠并发症，管理慢性孕产妇疾病， 生育间隔医疗补助基金占美国所有妊娠护理的一半。然而，Medicaid 在美国的拉丁美洲人中，覆盖率受到高度限制。根据联邦法律，无论是无证还是有证 在美国居住不到五年的移民只有资格获得紧急医疗补助， 仅涵盖紧急护理的联邦安全网计划。因此，紧急医疗补助涵盖了 分娩，但没有产前或产后护理。 各州可以扩大其紧急医疗补助覆盖范围，以涵盖产前和/或产后护理，但我们 没有证据表明这些政策的影响。俄勒冈州实施了创新政策， 从产前到产后60天的覆盖范围。我们将比较护理利用率， 传统医疗补助和紧急医疗补助之间的解释间隔目标1）和目标2） 紧急医疗补助人口之间的南卡罗来纳州（一个没有覆盖的国家）和俄勒冈州。我们还将 估计每个覆盖方案的预期医疗补助成本和健康福利（目标3）。我们的研究将 产生的结果，可用于指导国家政策的健康福利和医疗补助费用， 限制获得孕期护理。

Project Summary Comprehensive care throughout pregnancy promotes maternal and infant health through the identification and prevention of pregnancy complications, the management of chronic maternal disease, and promoting healthy birth spacing. Medicaid funds half of all pregnancy care in the United States (US). However, Medicaid coverage is highly restricted among US-based Latinas. By federal law, both undocumented and documented immigrants who have been in the US for less than five years are only eligible for Emergency Medicaid, a federal safety net program that covers emergency care only. Thus, Emergency Medicaid covers the cost of a delivery, but no prenatal or post-partum care. States can expand their Emergency Medicaid coverage to encompass prenatal and/or postpartum care, but we have no evidence about the impact of such policies. Oregon has implemented innovative policy that extends coverage from the prenatal period through 60 days postpartum. We will compare care utilization rates and interpregnancy interval Aim 1) between traditional Medicaid and Emergency Medicaid and Aim 2) within the Emergency Medicaid population between South Carolina (a no-coverage state) and Oregon. We will also estimate anticipated Medicaid costs and health benefits (Aim 3) of each coverage scenario. Our study will generate findings that can be used to guide policy nationally as to the health benefits and Medicaid costs of restricting access to pregnancy care.