More than a third of Massachusetts insured changed policy type during the perinatal period

JAMA Network Open (2022). DOI: 10.1001/jamanetworkopen.2022.39803″ width=”800″ height=”530″/>

Transfer of insurance during the study period. credit: JAMA network open (2022). DOI: 10.1001/jamanetworkopen.2022.39803

A study by the University of Massachusetts Amherst found that more than one in three continuously insured individuals in Massachusetts experienced a health insurance transition in the 12 months before and after giving birth.

Research published in JAMA network openanalyzed data from over 97,000 births from 2015 to 2017. insurance Transitioning Perinatal Care and Outcomes.

“During the perinatal period, it is very important that the mother and baby have insurance,” said lead author Chanup Jeung, a postdoctoral fellow at the Graduate School of Public Health and Health Sciences. “Switching insurance plans can interfere with continuity of care and reduce access to care, even if you have perinatal insurance.”

The most common transitions were related to transitioning into and out of Medicaid and Medicaid-managed health insurance compared to commercial insurance. Medicaid is run by the state, and Medicaid Managed Care is usually administered by a non-profit private company.

Previous studies have shown that ongoing insurance can help improve birth outcomes and reduce perinatal morbidity and mortality. It’s the first to look at how many continuously insured Massachusetts residents changed insurance types during this critical time.

“Our research another point of view“We believe that the transition to this type of insurance could have an impact on their outcomes, even for those who are continuously insured.”

Senior author Associate Professor Kimberly Geisler (Health Policy and Management) said the research team did a lot of research to identify the various causes of insurance migration.

“One of the ways people can move is because they want to change insurers or change providers,” she says. “Another reason is because of the redefinition of Medicaid.”

For example, Medicaid requirements are income, family sizemarital and employment status, and pregnancy status.

Of the 97,335 deliveries included in the study, approximately 45% private insurance23.4% for Medicaid, 28.1% for Medicaid Managed Care, and between 3.1% and 4.5% for Marketplace plans.

Analysis of the data revealed that 37.1% of the insured had transitioned at some point during the 12 months before and/or after birth. Of those who changed insurance, 24% only transitioned to postnatal insurance, 38.8% only prenatal transitions, and 37.2% both prenatal and postnatal transitions. Individuals with Medicaid and Medicaid-managed care were 47 and 50.1 percentage points higher in insurance transition than individuals with private insurance, respectively.

“We know from the literature that these transitions happen, but we were surprised at how common they are and how common they are across insurance types,” says Geisler. Those with insurance are less likely to transition, but they are not immune to these transitions.”

This study, part of a larger federally funded project, examines the impact of transitioning to the Massachusetts Medicaid Accountable Care Organization (ACO) on maternal outcomes and postnatal care. The study looked at births before the ACO took effect.

“This is an important step in understanding Medicaid coverage during this period,” says Geissler.

Almost everyone in Massachusetts Health insurancethe researchers point out. This study has national relevance as other states seek to expand health insurance coverage, especially during the perinatal period.

“Because of the issues surrounding maternal mortality and morbidity, there is a strong policy interest in covering pregnant and postpartum people,” says Geisler. As you go along, it can give you some sense of what’s going to happen.”

For more information:
Chanup Jeung et al, Perinatal health insurance trends, among continuously insured patients, JAMA network open (2022). DOI: 10.1001/jamanetworkopen.2022.39803

Quote: More than one-third of Massachusetts insured people changed their insurance type during the perinatal period (11/10/2022).

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