| Medicaid funding for abortion: providers' experiences with cases involving rape, incest and life endangerment. | |
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MedLine Citation:
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PMID: 20618746 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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CONTEXT: The Hyde Amendment bans federal Medicaid funding for abortion in the United States except if a pregnancy resulted from rape or incest or endangers the life of the woman. Some evidence suggests that providers do not always receive Medicaid reimbursement for abortions that should qualify for funding. METHODS: From October 2007 to February 2008, semistructured in-depth interviews about experiences with Medicaid reimbursement for qualifying abortions were conducted with 25 respondents representing abortion providers in six states. A thematic analysis approach was used to explore respondents' knowledge of and experiences seeking Medicaid reimbursement for qualifying abortions, as well as individual, clinical and structural influences on reimbursement. The numbers of qualifying cases that were and were not reimbursed were assessed. RESULTS: More than half of Medicaid-eligible cases reported by respondents in the past year were not reimbursed. Respondents reported that filing for reimbursement takes excessive staff time and is hampered by bureaucratic claims procedures and ill-informed Medicaid staff, and that reimbursements are small. Many had stopped seeking Medicaid reimbursement and relied on nonprofit abortion funds to cover procedure costs. Respondents reporting receiving reimbursement said that streamlined forms, a statewide education intervention and a legal intervention to ensure that Medicaid reimbursed claims facilitated the process. CONCLUSIONS: The policy governing federal funding of abortion is inconsistently implemented. Eliminating administrative burdens, educating providers about women's rights to obtain Medicaid reimbursement for abortion in certain circumstances and holding Medicaid accountable for reimbursing qualifying cases are among the steps that may facilitate Medicaid reimbursement for qualifying abortions. |
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Authors:
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Deborah Kacanek; Amanda Dennis; Kate Miller; Kelly Blanchard |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Perspectives on sexual and reproductive health Volume: 42 ISSN: 1931-2393 ISO Abbreviation: Perspect Sex Reprod Health Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-07-12 Completed Date: 2010-11-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101140654 Medline TA: Perspect Sex Reprod Health Country: United States |
Other Details:
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Languages: eng Pagination: 79-86 Citation Subset: IM |
Affiliation:
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Ibis Reproductive Health, Cambridge, MA, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Induced
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economics* Ambulatory Care Facilities / economics* Female Financing, Government / legislation & jurisprudence* Humans Incest* Interviews as Topic Male Medicaid / economics* Pregnancy Rape* United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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