North Carolina simplifies medicaid enrollment, improves coverage for pregnant women

January 12, 2021

North Carolina did not expand Medicaid eligibility under the Affordable Care Act, which continued to put many low-income women at risk for losing health care coverage post partum. The state did comply with ACA standards for simplifying Medicaid enrollment, automating the process and removing a stringent and often cumbersome financial assessment process. Analysis from researchers at Duke University found that these reforms enabled more low-income women to qualify for full Medicaid and reduced the number of women who instead qualified for more limited benefits under the state's Medicaid for Pregnant Women program. Researchers examined Medicaid claims and vital statistics in North Carolina from 2011 to 2017 and determined that, after changing the full Medicaid enrollment process in 2013 to adhere to the ACA standards, enrollment in full Medicaid during pregnancy doubled and Medicaid for Pregnant Women fell. Full Medicaid does not expire after 60 days and allows women access to crucial preventative health services that include primary care and contraception.
-end-
Pregnancy Medicaid Improvements in a Nonexpansion State After the Affordable Care Act
Jonas J. Swartz, MD, MPH, et al
Duke University, Department of Obstetrics and Gynecology, Durham, North Carolina
https://www.annfammed.org/content/19/1/38

American Academy of Family Physicians

Related Medicaid Articles from Brightsurf:

For people with diabetes, medicaid expansion helps, but can't do it all: BU study
Medicaid expansion through the Affordable Care Act has insured millions of low-income people in the United States, improving outcomes for patients with many different diseases.

Changes in cancer survival after Medicaid expansion
Researchers compared the rate of death for patients diagnosed with breast, colorectal or lung cancer and living in states that expanded Medicaid under the Patient Protection and Affordable Care Act with states that didn't.

ACA's expansion of Medicaid improved maternal health
The period of time before pregnancy is critically important for the health of a woman and her infant, yet not all women have access to health insurance during this time.

Study: Medicaid and adults on the autism spectrum
Using administrative data from the Medicaid Analytic eXtract (MAX), researchers from Drexel University's A.J.

Long-term care after Medicaid expansion
This observational study looked at the association between Medicaid expansion under the Patient Protection and Affordable Care Act (ACA) and long-term home health care and nursing home use among newly eligible low-income adults and older adults whose eligibility did not change.

After Medicaid expansion, 'unmet need' for joint replacement surgery
States that have expanded Medicaid eligibility under the Affordable Care Act have seen an 'early surge in demand' for hip and knee replacement surgery, reports a study in the September 2, 2020 issue of The Journal of Bone & Joint Surgery.

Medicaid expansion and outpatient surgical care
This observational study examined the association between state participation in Medicaid expansion through the Affordable Care Act and changes in the use of surgical care for common outpatient procedures.

Medicaid-covered mothers have less say in birthing experience: BU study
Giving birth in the United States is a radically different experience based on race and income, illustrated most brutally by the Black and Indigenous maternal mortality crisis.

Food allergy may be underdiagnosed in children on Medicaid
Prevalence of food allergy among Medicaid-enrolled children across the U.S.

Trouble getting a doctor's appointment may drive Medicaid enrollees to opt for the ER
The expansion of Medi-Cal, California's Medicaid program, gave millions of low-income Californians access to health insurance, but this study conducted in Northern California found that new patients may have to wait up up to a month for an appointment with a participating primary care provider, depending on their county of residence.

Read More: Medicaid News and Medicaid Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.