From Health Affairs Today <[email protected]>
Subject Medicaid Expansion And Closure Of Hospital-Based Obstetric Services
Date April 28, 2022 8:00 PM
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Forefront: How to improve multisector collaboration for public health
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Thursday, April 28, 2022 | The Latest Research, Commentary, And News
From Health Affairs

Dear John,

An April article examines the association between Medicaid expansion and
closure of hospital-based obstetric services.

Hospital-Based Obstetric Services

Medicaid expansion has reduced hospital closures overall.

However, according to Caitlin Carroll and coauthors in their April
Health Affairs article, there is no relationship between Medicaid
expansion and retention of obstetric units

or survival of hospitals offering obstetric services.

"Access to obstetric services has declined steadily during the past
decade, driven by the closure of hospital-based obstetric units and of
entire hospitals," Carroll and coauthors explain.

Using national hospital data from the period 2010-18, they found that
while expansion led to a reduction in hospital closures, that reduction
was concentrated among hospitals that did not have obstetric units.

When considering closure of obstetric units, the authors determined that
rural obstetric units were less likely to close immediately after
expansion, but this effect faded within two years.

"State decisions to expand Medicaid did not alleviate the ongoing
challenge of obstetric care access in the US," the authors conclude.

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Elsewhere At Health Affairs

Today in Health Affairs Forefront, Alonzo Plough and Gail Cristopher
argue that US public health leaders should play an active role in
driving multisector collaboration around public health data sharing
.

The authors explain that in order to address social determinants of
health, officials will have to operationalize them within a
justice-focused data framework.

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Daily Digest

Association Between Medicaid Expansion And Closure Of Hospital-Based
Obstetric Services

Caitlin Carroll et al.

Equity-Centered Public Health Data Demands New Voices At The Table

Alonzo Plough and Gail C. Christopher

Podcast: Offsetting the Health Care Industry's Carbon Footprint

Jared Downing

 

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