Reports on Alcohol and Drug Research Findings from National Center for Chronic Disease Prevention and Health Promotion Provide New Insights (Medicaid expansion in Oregon and postpartum healthcare among people with and without prenatal substance …): Addiction Research – Alcohol and Drug Research

2022 DEC 09 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Data detailed on alcohol and drug research have been presented. According to news originating from Atlanta, Georgia, by NewsRx editors, the research stated, “People with a maternal substance use disorder (SUD) may experience a lack of access to necessary healthcare and more specifically, postpartum healthcare. It is not known whether increased insurance coverage introduced by Medicaid expansion has improved postpartum healthcare utilization among this population.”

Our news editors obtained a quote from the research from National Center for Chronic Disease Prevention and Health Promotion: “Oregon 2008-2016 birth certificates and Medicaid claims were used to examine whether continuous insurance enrollment and postpartum healthcare utilization increased post-Medicaid expansion in a population with and without SUD (n = 9,337). International Classification of Diseases codes were used to identify deliveries, SUD, and postpartum healthcare. Univariable and multivariable generalized linear regression with standard errors clustered by individual were used to estimate the association between Medicaid expansion and postpartum healthcare utilization, stratified by maternal SUD. Among the 10.3% with SUD, expansion was not associated with increased continuous enrollment or postpartum healthcare utilization. Among those without SUD, post-expansion deliveries were associated with increased continuous enrollment (+105.0 days; 95% CI=96.9-113.2), total (+4.4; 95% CI=2.9-6.0), postpartum (+0.3; 95% CI=0.2-0.4), inpatient (+0.9; 95% CI=0.7-1.1), outpatient (+2.3; 95% CI=1.4-3.3), office (+0.9; 95% CI=0.2-1.6), and emergency department (+0.3; 95% CI=0.1-0.5) visits. Among deliveries to postpartum people with SUD, 27.2% had opioid use disorder (OUD); expansion was associated with increased OUD medication use (12.0% vs 18.3%) and number of fills (6.7 vs 16.6).”

According to the news editors, the research concluded: “Medicaid expansion in Oregon was only associated with increased Medicaid-financed healthcare utilization for postpartum people without SUD, with the exception of those with OUD, demonstrating the need for assessing various strategies to improve postpartum healthcare utilization.”

For more information on this research see: Medicaid expansion in Oregon and postpartum healthcare among people with and without prenatal substance use disorder. Drug and Alcohol Dependence Reports, 2022,5():100096. The publisher for Drug and Alcohol Dependence Reports is Elsevier.

A free version of this journal article is available at https://doi.org/10.1016/j.dadr.2022.100096.

Our news journalists report that additional information may be obtained by contacting Sarah C. Haight, Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, United States. Additional authors for this research include Jangho Yoon, Jeff Luck, Marie Harvey, Carrie Shapiro-Mendoza, Rui Li, Jean Y. Ko.

(Our reports deliver fact-based news of research and discoveries from around the world.)