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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.

 

 

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.

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/