Effect of the Affordable Care Act on Disparities in Breastfeeding

The Case of Maine

Datos Bibliográficos

ID11024940
AutoresSummer Sherburne Hawkin (0000-0002-1099-362X, Boston College), Summer Sherburne Hawkins (Summer Sherburne Hawkins and Christopher F. Baum are with the School of Social Work, Boston College, Chestnut Hill, MA. Alice Noble is with the Law School, Boston College, Newton Centre, MA. Christopher F. Baum is also with the Department of Economics, Boston College, and the Department of Macroeconomics, German Institute for Economic Research (DIW Berlin), Berlin, Germany.), Alice Noble (0000-0001-8096-4448, Summer Sherburne Hawkins and Christopher F. Baum are with the School of Social Work, Boston College, Chestnut Hill, MA. Alice Noble is with the Law School, Boston College, Newton Centre, MA. Christopher F. Baum is also with the Department of Economics, Boston College, and the Department of Macroeconomics, German Institute for Economic Research (DIW Berlin), Berlin, Germany.), Christopher F Baum (0000-0003-4766-3699, Summer Sherburne Hawkins and Christopher F. Baum are with the School of Social Work, Boston College, Chestnut Hill, MA. Alice Noble is with the Law School, Boston College, Newton Centre, MA. Christopher F. Baum is also with the Department of Economics, Boston College, and the Department of Macroeconomics, German Institute for Economic Research (DIW Berlin), Berlin, Germany.)
Año2017
Volumen107
Número7
Páginas1119-1121
Fecha de publicación2017-07-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2017.303763
PMID28520483
OpenAlexW2616629015
IdiomaEN
Citas recibidas6
Referencias citadas2

Objectives. To evaluate the Affordable Care Act (ACA) breastfeeding provision and test whether changes in coverage affected women differently according to health insurance status. Methods. We used the All-Payer Claims Database from Maine (2012–2014) to compare health insurance claims for lactation classes and breast pumps between women with private insurance and women with Medicaid (1) before the ACA breastfeeding provision, (2) after the provision came into effect, and (3) after health insurance expansion through the Marketplace. Results. We found limited change in claims for lactation classes over the study period. By contrast, the number of claims for breast pumps among women with private insurance increased from 70 claims in the third quarter of 2012 to 629 claims 1 year later and 803 claims in the third quarter of 2014. Women with Medicaid had only 11 claims for breast pumps over the entire study period. Conclusions. This 11-fold rise in claims for breast pumps by women with private insurance suggests that these women will likely increase breastfeeding initiation or duration; however, without additional support for women with Medicaid, disparities in breastfeeding may increase

Breast feeding · Breastfeeding · Economic growth · Economics · Environmental health · Family medicine · Geography · Health care · Health insurance · Medicaid · Patient Protection and Affordable Care Act · Private insurance · Quarter (Canadian coin) · Breastfeeding Practices and Influences · Demography · Food Security and Health in Diverse Populations · Healthcare Policy and Management · Medicine · Pediatrics