April 29, 2022
1 min learn
Eliason EL, et al. JAMA Well being Discussion board. 2022;doi:10.1001/jamahealthforum.2022.0688.
Eliason experiences no related monetary disclosures. Please see the examine for all different authors’ related monetary disclosures.
In contrast with the pre-pandemic fee, the speed of postpartum insurance coverage loss was considerably decrease in the course of the COVID-19 pandemic, largely resulting from will increase in constant Medicaid protection, in accordance with knowledge in JAMA Well being Discussion board.
As a result of pregnancy-related Medicaid protection ends 60 days postpartum, pregnant individuals with Medicaid insurance coverage typically expertise gaps in insurance coverage protection.
“These findings recommend that the Households First Coronavirus Response Act, which prevented Medicaid disenrollment, was related to substantial reductions in postpartum Medicaid loss,” Erica L. Eliason, PhD, MPH, a postdoctoral analysis fellow at Brown College College of Public Well being, and colleagues wrote.
Eliason and colleagues reviewed knowledge from 4,448 postpartum members who responded to the Present Inhabitants Survey, Annual Social and Financial Complement (CPS-ASEC) between 2019 and 2021.
Respondents reported insurance coverage protection on the time of the survey and inside the final calendar yr. Utilizing this info, the researchers examined adjustments in protection for members in the course of the pre-pandemic (2019), early pandemic (2020) and pandemic (2021) years.
Information confirmed that the proportion of people that misplaced protection decreased from 3.1% in 2019 to 1.8% in 2021.
For 2019 respondents with Medicaid inside the final yr, 88.2% remained on Medicaid, 10.3% misplaced protection and 1.6% modified to non-public insurance coverage. Nevertheless, 2021 knowledge confirmed that the proportion of individuals sustaining Medicaid protection elevated by 6.8 share factors (95% CI, 1.7-11.9) and the proportion of those that misplaced Medicaid protection decreased by 64% (–6.6 share factors; 95% CI, –11.1 to –2).
Amongst privately insured respondents in 2019, 97.1% maintained protection, 1.4% switched to Medicaid and 1.3% misplaced protection. In 2021, the proportion of people that switched to Medicaid was 1.5 share factors (95% CI, 0-2.9) larger than in 2019.
Though the examine was restricted by the character of the CPS-ASEC, the findings revealed the significance of maintained insurance coverage protection following being pregnant.
“Taking insurance coverage safety away 60 days postpartum implies that a really sizable inhabitants shall be with out protection throughout a weak time of their lives, placing their well being and that of their infants at larger threat,” Eliason stated in a press launch.