Document Detail


Racial Disparities in Economic and Clinical Outcomes of Pregnancy Among Medicaid Recipients.
MedLine Citation:
PMID:  23065298     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
To explore racial-ethnic disparities in adverse pregnancy outcomes among Medicaid recipients, and to estimate excess Medicaid costs associated with the disparities. Cross-sectional study of adverse pregnancy outcomes and Medicaid payments using data from Medicaid Analytic eXtract files on all Medicaid enrollees in fourteen southern states. Compared to other racial and ethnic groups, African American women tended to be younger, more likely to have a Cesarean section, to stay longer in the hospital and to incur higher Medicaid costs. African-American women were also more likely to experience preeclampsia, placental abruption, preterm birth, small birth size for gestational age, and fetal death/stillbirth. Eliminating racial disparities in adverse pregnancy outcomes (not counting infant costs), could generate Medicaid cost savings of $114 to $214 million per year in these 14 states. Despite having the same insurance coverage and meeting the same poverty guidelines for Medicaid eligibility, African American women have a higher rate of adverse pregnancy outcomes than White or Hispanic women. Racial disparities in adverse pregnancy outcomes not only represent potentially preventable human suffering, but also avoidable economic costs. There is a significant financial return-on-investment opportunity tied to eliminating racial disparities in birth outcomes. With the Affordable Care Act expansion of Medicaid coverage for the year 2014, Medicaid could be powerful public health tool for improving pregnancy outcomes.
Authors:
Shun Zhang; Kathryn Cardarelli; Ruth Shim; Jiali Ye; Karla L Booker; George Rust
Related Documents :
9451758 - Population-based case-control study of teratogenic potential of corticosteroids.
24462638 - Clinical management of epithelial ovarian cancer during pregnancy.
23638668 - Nhs-funded ivf: consequences of nice implementation.
19298438 - First-trimester increase in oxidative stress and risk of small-for-gestational-age fetus.
3464148 - Developmental aspects of the offspring of diabetic mothers.
2160998 - Transvaginal sonographic diagnosis of congenital anomalies between 9 weeks and 16 weeks...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-13
Journal Detail:
Title:  Maternal and child health journal     Volume:  -     ISSN:  1573-6628     ISO Abbreviation:  Matern Child Health J     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
National Center for Primary Care at Morehouse School of Medicine, 720 Westview Drive, NCPC Room 307, Atlanta, GA, 30310, USA, szhang@msm.edu.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Development of the Drug-Exposed Infant Identification Algorithm (DEIIA) and Its Application to Measu...
Next Document:  Adjusted Effects of Domestic Violence, Tobacco use, and Indoor Air Pollution from Use of Solid Fuel ...