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Immediate Postpartum Long-Acting Reversible Contraceptive Use Following State-Specific Changes in Hospital Medicaid Reimbursement

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Key Points Question Are Medicaid policies that reimburse hospitals for immediate postpartum long-acting reversible contraception (LARC) associated with increased provision of this service? Findings In this cross-sectional study of more… Click to show full abstract

Key Points Question Are Medicaid policies that reimburse hospitals for immediate postpartum long-acting reversible contraception (LARC) associated with increased provision of this service? Findings In this cross-sectional study of more than 3 million births in Georgia, Iowa, Maryland, New York, and Rhode Island between 2011 and 2017, Medicaid reimbursement for immediate postpartum LARC was associated with an increase in immediate postpartum LARC provision among people with Medicaid in all states. The policies were also associated with increased provision among people with a commercially paid birth in 4 of 5 states. Meaning These findings suggest that reimbursement of immediate postpartum LARC was associated with increased access to this service.

Keywords: postpartum; immediate postpartum; postpartum long; acting reversible; reimbursement; long acting

Journal Title: JAMA Network Open
Year Published: 2022

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