At the Health Affairs blog, Jamie Daw, Katy Kozhimannil and Lindsay Admon examine insurance churn among mothers in the time surrounding the birth of a child.
An analysis of the 2005–13 Medical Expenditure Panel Survey found that prior to implementation of the Affordable Care Act (ACA), nearly 60 percent of pregnant women experienced a month-to-month change in insurance type in the nine months leading to delivery, and half were uninsured at some point in the six months following birth
Why does this matter?
- The health of mom influences the health of the baby
- Churn from one type of coverage to another is disruptive and costly
- Medicaid (especially in non-expansion states) has a very short off-ramp for post-partum moms
There is a split in uninsurance of the mother between Medicaid expansion and Medicaid non-expansion states as we should expect by now.
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