Investigators at Ohio State University Report Findings in Managed Care (Association of Medicaid Reimbursement Policies With Provision of Long-acting Reversible Contraception In the Postpartum Period, 2012-2018): Managed Care

2024 APR 12 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Current study results on Managed Care have been published. According to news reporting out of Columbus, Ohio, by NewsRx editors, research stated, “To address reimbursement challenges associated with long-acting reversible contraception (LARC) in the postpartum period, state Medicaid programs have provided additional payments (‘carve-outs’). Implementation has been heterogeneous, with states providing separate payments for the device only, procedure only, or both the device and procedure.”

Financial support for this research came from Philanthropic foundation.

Our news journalists obtained a quote from the research from Ohio State University, “Claims data were drawn from 210,994 deliveries in the United States between 2012 and 2018. Using generalized estimating equations, we assess the relationship between Medicaid carve-out policies and the likelihood of LARC placement at (1) 3 days postpartum, (2) 60 days postpartum, and (3) 1 year postpartum, in Medicaid and commercially insured populations. Among Medicaid beneficiaries, the likelihood of receiving LARC was higher in states with any carve-out, compared with states without carve-outs, at 3 days (adjusted odds ratio [aOR] 1.49 [95% confidence interval: 1.33-1.67], p< 0.001), 60 days (aOR: 1.40 [95% CI: 1.35-1.46], p< 0.001), and 1 year postpartum (aOR: 1.15 [95% CI: 1.11-1.20], p< 0.001). Adjustments were made for geographic region, seasonality, and patient age. Heterogeneity was observed by carve-out type; device carve-outs were consistently associated with greater likelihood of postpartum LARC placement, compared with states with no carve-outs. Similar trends were observed among commercially insured patients. Findings support the effectiveness of Medicaid carve-outs on postpartum LARC provision, particularly for device carve-outs, which were associated with increased postpartum LARC placement at 3 days, 60 days, and 1 year postpartum.”

According to the news editors, the research concluded: “This outcome suggests that policies to address cost-related barriers associated with LARC devices may prove most useful in overcoming barriers to immediate postpartum LARC placement, with the overarching aim of promoting reproductive autonomy.”

This research has been peer-reviewed.

For more information on this research see: Association of Medicaid Reimbursement Policies With Provision of Long-acting Reversible Contraception In the Postpartum Period, 2012-2018. Journal of Women s Health, 2024. Journal of Women s Health can be contacted at: Mary Ann Liebert, Inc, 140 Huguenot Street, 3RD Fl, New Rochelle, NY 10801, USA.

Our news journalists report that additional information may be obtained by contacting Saira Nawaz, Ohio State University, College of Public Health, Ctr Hlth Outcomes Policy & Evaluat Studies, 4140 Sixth St S, Columbus, OH 22204, United States. Additional authors for this research include Kyle J. Moon, Ian Bryant, Kathryn A. Hasenstab, Lenisa V. Chang and Alison H. Norris.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1089/jwh.2023.0643. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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