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The effect of expanding Medicaid prenatal services on birth outcomes

Author

Listed:
  • Baldwin, L.-M.
  • Larson, E.H.
  • Connell, F.A.
  • Nordlund, D.
  • Cain, K.C.
  • Cawthon, M.L.
  • Byrns, P.
  • Rosenblatt, R.A.

Abstract

Objectives. Over 80% of US states have implemented expansions in prenatal services for Medicaid-enrolled women, including case management, nutritional and psychosocial counseling, health education, and home visiting. This study evaluates the effect of Washington State's expansion of such services on prenatal care use and low, birthweight rates. Methods. The Change in prenatal care use and low-birthweight rates among Washington's Medicaid- enrolled pregnant women before and apter initiation of expanded prenatal services was compared with the change in these outcomes in Colorado, a control state. Results. The percentage of expected prenatal visits completed increased significantly, from 84% to 87%, in both states Washington's low- birthweight rate decreased (7.1% to 6.4%, P = .12), while Colorado's rate increased slightly (10.4% to 10.6%, P = .74). Washington's improvement was largely due to decreases in low-birthweight rates for medically high-risk women (18.0% to 13.7%, P= .01, for adults; 22.5% to 11.5%, P =.03, for teenagers), especially those with preexisting medical conditions. Conclusions. A Statewide Medicaid-sponsored support Service and case management program was associated with a decrease in the low-birthweight rate of medically high-risk women.

Suggested Citation

  • Baldwin, L.-M. & Larson, E.H. & Connell, F.A. & Nordlund, D. & Cain, K.C. & Cawthon, M.L. & Byrns, P. & Rosenblatt, R.A., 1998. "The effect of expanding Medicaid prenatal services on birth outcomes," American Journal of Public Health, American Public Health Association, vol. 88(11), pages 1623-1629.
    • Handle: RePEc:aph:ajpbhl:1998:88:11:1623-1629_8
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    Cited by:

    1. Sohn, Heeju, 2017. "Medicaid's lasting impressions: Population health and insurance at birth," Social Science & Medicine, Elsevier, vol. 177(C), pages 205-212.
    2. Sankar Mukhopadhyay & Wei Yang & Wai Lee & Jeanne Wendel, 2008. "Analyzing the impact of prenatal care on infant health: do we have useful input and output measures?," Economics Bulletin, AccessEcon, vol. 9(22), pages 1-14.
    3. Almond, Douglas & Currie, Janet, 2011. "Human Capital Development before Age Five," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 4, chapter 15, pages 1315-1486, Elsevier.
    4. Catalina Amuedo-Dorantes & Brandyn Churchill & Yang Song, 2022. "Immigration Enforcement and Infant Health," American Journal of Health Economics, University of Chicago Press, vol. 8(3), pages 323-358.
    5. repec:ebl:ecbull:v:9:y:2008:i:22:p:1-14 is not listed on IDEAS
    6. Kabir Dasgupta & Keshar Ghimire & Alexander Plum, 2022. "Impact of state children’s health insurance program on fertility of immigrant women," Applied Economics Letters, Taylor & Francis Journals, vol. 29(17), pages 1631-1643, October.
    7. Evans, William N. & Lien, Diana S., 2005. "The benefits of prenatal care: evidence from the PAT bus strike," Journal of Econometrics, Elsevier, vol. 125(1-2), pages 207-239.
    8. Arima, Yuzo & Guthrie, Brandon L. & Rhew, Isaac C. & De Roos, Anneclaire J., 2009. "The impact of the First Steps prenatal care program on birth outcomes among women receiving Medicaid in Washington State," Health Policy, Elsevier, vol. 92(1), pages 49-54, September.

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