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Presumptive eligibility for pregnant Medicaid enrollees

Its effects on prenatal care and perinatal outcome

Bibliographic Data

ID11035103
AuthorsJOYCE M PIPER (Vanderbilt University), EDWARD F MITCHEL (0000-0002-1151-1397), WAYNE A RAY (0000-0001-9188-9017)
Year1994
Volume84
Issue10
Pages1626-1630
Publication date1994-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.84.10.1626
PMID7943482
OpenAlexW2037588328
LanguageEN
Citations received8
References cited8

OBJECTIVES. "Presumptive eligibility" permits pregnant prospective Medicaid enrollees to obtain services during the application period. The purpose of this study was to assess the effects of presumptive eligibility on the receipt of prenatal care and the occurrence of low-birthweight births and neonatal, perinatal, and infant mortality. METHODS. Outcome rates for pregnant women who enrolled in Tennessee Medicaid in the 6-month period before presumptive eligibility was enacted were compared with those obtained for pregnant women who enrolled in the 6-month period after presumptive eligibility had been in effect for 5 months. RESULTS. Women in the "after" group were 40% more likely to enroll and 30% more likely to obtain prenatal care in the first trimester. They were 300% more likely to fill a prescription for prenatal vitamins in the first trimester and 16% more likely to have begun prenatal care before the third trimester. However, they were similar to those enrolling in the "before" time period in terms of the occurrence of adverse perinatal outcomes. CONCLUSIONS. When barriers to prenatal care, including bureaucratic ones, are removed, low-income women will seek care earlier and more frequently

Environmental health · Family medicine · Health care · Medicaid · Obstetrics · Population · Pregnancy · Prenatal care · Receipt · Global Maternal and Child Health · Healthcare Policy and Management · Medicine · Reproductive Health and Contraception · Pediatrics

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    Open Access•E Rauscher, Ailish Burns•RSF The Russell Sage Foundation…•2023

  • Does prenatal care improve birth outcomes? A critical review

    Open Access•Kevin Fiscella•Obstetrics and Gynecology•1995

  • Improvements in Prenatal Insurance Coverage and Utilization of Care in California

    Open Access•Diane R Rittenhouse, Paula Braveman et al.•Maternal and Child Health Journal•2003

  • Determinants of Late Prenatal Care Initiation by African American Women in Washington, DC

    Open Access•Allan A Johnson, M Nabil El-Khorazaty et al.•Maternal and Child Health Journal•2003

  • Correlates of Early Prenatal Care Access among U.S. Women

    Open Access•Rebecca A Krukowski, Lisette T Jacobson et al.•Maternal and Child Health Journal•2021

  • Medicaid Disenrollment Patterns Among Children Coming into Contact with Child Welfare Agencies

    Open Access•Ramesh Raghavan, Benjamin T Allaire et al.•Maternal and Child Health Journal•2016

  • Multiparous Black and Latinx Women Face More Barriers to Prenatal Care than White Women

    Open Access•Kimberly Fryer, Maria Christina Munoz et al.•Journal of Racial and Ethnic…•2020

  • Racial Differences in Prenatal Care Use in the United States

    Greg R Alexander, Michael D Kogan et al.•American Journal of Public Health•2002

  • Validation of 1989 Tennessee Birth Certificates using Maternal and Newborn Hospital Records

    JOYCE M PIPER, EDWARD F MITCHEL et al.•American Journal of Epidemiology•1993

Unique citing works8
Citations per year0,26
Citation span1995 - 2023 (29)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 7

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