Findings from Drs. Salter, Mendez, Jarlenski, and their team can assist Medicaid agencies in understanding how MCOs interpret and implement equity-based policy to ensure intended populations are benefiting from the planned outcomes.
Medicaid
Implementation and early effects of medicaid policy interventions to promote racial equity in pregnancy and early childhood outcomes in Pennsylvania
Drs. Jarlenski and Mendez's mixed methods research evaluating Pennsylvania Medicaid's equity payment program and equity focused obstetric bundle show how Medicaid policy interventions can promote racial equity in pregnancy and child health.
Pennsylvania Medicaid Doula Benefit Toolkit
This toolkit was developed by the Pennsylvania Doula Commission in partnership with community members to educate families, Doulas, and policy makers across Pennsylvania about the upcoming Medicaid benefit to cover and reimburse Doulas for the services they provide
Duration of medication for opioid use disorder during pregnancy and postpartum by race/ethnicity
Dr. Marian Jarlenski's study looked at the duration of medication for opioid use disorder during pregnancy and postpartum by race and ethnicity in Medicaid and found that:
- There are racial/ethnic inequities in MOUD use during pregnancy.
- Less is known about racial/ethnic inequities in MOUD use postpartum.
- White women had longer duration of MOUD postpartum than Hispanic or Black women.
- Inequities differed by type of MOUD.
Treatment Disparities in Radiation and Hormone Therapy Among Women Covered
Access to quality healthcare is a fundamental right, yet disparities in cancer treatment persist among different insurance coverage groups. A study by Dr. Lindsay Sabik and her team focused on women aged 21-63 years who underwent breast cancer surgery. Dr. Sabik found that treatment disparities were underreported in both data sources.
New Effort to Examine Doula Care Programs in Medicaid to Advance Racial Equity
Congratulations to Dr. Marian Jarlenski for a successful PCORI grant focused on improving pregnancy-related health outcomes.
Explaining Racial-ethnic Disparities in the Receipt of Medication for Opioid Use Disorder During Pregnancy
Alice Gao, Dr. Liz Krans, and Dr. Marian Jarlenski found that later diagnosis of opioid use disorder (OUD) in pregnancy among non-White/Hispanic women partially explains the disparities in medication for opioid use disorder (MOUD) receipt in this population. Universal substance use screening earlier in pregnancy, combined with connecting patients to evidence-based and culturally competent care, is an approach that could close the observed racial-ethnic disparity in MOUD receipt.
State Medicaid coverage for abortion is associated with increased abortion access
Findings from Dr. Borrero's and Dr. Jarlenski's recent study show that patients residing in states with Medicaid coverage for abortion had lower odds and rates of:
- Waiting more than 14 days between deciding to have an abortion and the appointment
- Having abortions more than 10 weeks of gestation when in the first trimester
- Traveling more than 60 min to the abortion clinic
Read more: https://pubmed.ncbi.nlm.nih.gov/36075060/
Medicaid's Role in Reducing the Burden of Cancer in Men with HIV
Dr. Lindsay Sabik looked at Medicaid's role in reducing the burden of cancer in men with HIV as well as the need for improvement in the accessibility and affordability of care, continuous insurance coverage, and reducing the financial burden of cancer treatment.
Medicaid Policy and Pregnancy Outcomes
Our associate director, Dr. Marian Jarlenski, wrote an invited commentary on Medicaid policy and pregnancy outcomes. Read more here:
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