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The Latest Research, Commentary, And News From Health Affairs

Tuesday, April 6, 2021

Dear John,

New research shows that Medicaid expansion has a big impact on
postpartum uninsurance, but the recently passed American Rescue Plan
could close some coverage gaps.

How Medicaid Expansion, the American Rescue Plan, and Pregnancy All Fit
Together

Eleven years ago, the Affordable Care Act (ACA) offered new
pregnancy-related coverage to millions of Americans. Many states
expanded Medicaid eligibility to women with incomes up to 200 percent of
the federal poverty level. By 2018, Medicaid covered 43 percent of
births nationwide.

While the ACA's Medicaid expansion provisions created some insurance
stability for pregnant women, coverage churn persists. In a paper in the
April issue of Health Affairs, Emily Johnston and colleagues examined
the effect of Medicaid expansion on low-income pregnant women
.
Their findings show that, in states that didn't expand coverage, half
of women with prenatal Medicaid coverage experienced a period without
insurance in the weeks before or after birth. In states that did expand
Medicaid, only one in five lost insurance during the perinatal period.

But change could be on the way. The American Rescue Plan Act, which
became law in March, allows states to extend Medicaid coverage for women
up to 12 months postpartum, up from the current 60 days postpartum. This
new policy could have significant impacts on insurance loss among
pregnant women and new mothers in states that elect to expand coverage.
To learn more about this provision, read this recent blog post by Sara
Rosenbaum and coauthors
.

For more new findings related to the ACA and other topics, check out our
April 2021 issue .

Today on Health Affairs Blog, Erika G. Martin and Betty Bekemeier argue
that reinvesting in public health systems and services research

will be critical to building an evidence base for a stronger health
system. In a new GrantWatch post, Caroline Brunton and coauthors discuss
Accountable Communities for Health
,
explaining that they may have a variety of features, but all share a
common vision, embrace an inclusive governance structure that engages
community residents and organizations, and collect and share data across
sectors to help establish priorities and measure progress for their
communities.

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Your Daily Digest

Post-ACA, More Than One-Third Of Women With Prenatal Medicaid Remained
Uninsured Before Or After Pregnancy

Emily M. Johnston, Stacey McMorrow, Clara Alvarez Caraveo, and Lisa
Dubay

Medicaid And The American Rescue Plan: How It All Fits Together

Sara Rosenbaum, Morgan Handley, Maria Casoni, and Rebecca Morris

Investing In Evidence To Inform Practice: Reimagining The US Public
Health System

Erika G. Martin and Betty Bekemeier

Multisector Partnerships Such As ACHs: How Can They Improve Population
Health And Reduce Health Inequities?

Caroline Brunton, TC Duong, Feygele Jacobs, Jeffrey Levi, Phyllis
Meadows, Bonnie Midura, Shao-Chee Sim, Richard Thomason, and Anne F.
Weiss

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The ACA Led To An Increase In The Contraceptive-Curious

Listen to Alan Weil interview Nora Becker from the University of
Michigan on the affordability of long-acting reversible contraceptives,
how the Affordable Care Act impacted the costs associated with such
devices, and the role of behavioral economics in choosing a health plan.

Listen Here

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