Medicaid expansion and provision of prescription contraception to Medicaid beneficiaries

Medicaid expansion increased access to care, but longitudinal patterns of contraception use after the Medicaid expansion have not been described. We evaluated the effects of Medicaid expansion on the amount and type of contraceptive prescriptions using the Medicaid State Utilization Dataset. Overall...

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Veröffentlicht in:Contraception (Stoneham) 2021-03, Vol.103 (3), p.199-202
Hauptverfasser: Sumarsono, Andrew, Segar, Matthew W, Xie, Luyu, Atem, Folefac, Messiah, Sarah E, Francis, Jenny KR, Keshvani, Neil
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container_end_page 202
container_issue 3
container_start_page 199
container_title Contraception (Stoneham)
container_volume 103
creator Sumarsono, Andrew
Segar, Matthew W
Xie, Luyu
Atem, Folefac
Messiah, Sarah E
Francis, Jenny KR
Keshvani, Neil
description Medicaid expansion increased access to care, but longitudinal patterns of contraception use after the Medicaid expansion have not been described. We evaluated the effects of Medicaid expansion on the amount and type of contraceptive prescriptions using the Medicaid State Utilization Dataset. Overall long-acting reversible contraception (LARC) use increased in both expansion and non-expansion states. In a difference-in-differences analysis, states that expanded Medicaid had no appreciable increase in per-capita prescription rates of LARC (p = 0.26) or short-acting hormonal contraception (p = 0.09) when compared to nonexpansion states. The Medicaid expansion was not associated with a change in per-capita LARC or short-acting hormonal contraception use.
doi_str_mv 10.1016/j.contraception.2020.11.005
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Access to care
Contraception
Health policy
Humans
Long-Acting Reversible Contraception
Medicaid
Medicaid expansion
Prescriptions
Prevention
United States
Women's health
title Medicaid expansion and provision of prescription contraception to Medicaid beneficiaries
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