Study Findings on Managed Care Are Outlined in Reports from University of Colorado (Concordance of Desired and Administered Postpartum Contraceptives Among Emergency and Full Scope Medicaid Patients): Managed Care

2022 SEP 20 (NewsRx) -- By a News Reporter-Staff News Editor at Hospital & Nursing Home Daily -- Investigators publish new report on Managed Care. According to news reporting originating from Aurora, Colorado, by NewsRx correspondents, research stated, “To determine if concordance of contraceptive preference and uptake differ between postpartum recipients of emergency versus full scope Medicaid. We performed a historical cohort study of patients who delivered at a safety-net hospital in Denver, Colorado in 2016.”

Our news editors obtained a quote from the research from the University of Colorado, “In our public system, all patients had access to immediate postpartum tubal ligation and all forms of reversible contraception in outpatient clinics. We used data from electronic health records to compare contraceptive preferences and uptake between patients with full scope and emergency Medicaid at hospital discharge and by 12 weeks postpartum. We then compared contraceptive concordance (use of the same method as desired during de-livery admission) between the groups at time of postpartum discharge and by 12 weeks postpartum. We examined 693 women; 349 (50.1%) had emergency Medicaid and 344 (49.9%) had full scope Medicaid. The mean age at delivery was 27.9 years, and most patients were Hispanic (74%). Women with emergency Medicaid were less likely to receive their desired method of postpartum contraception before hospital discharge (53.6% vs. 66.9%; p< .01). One-half of the patients with emergency Medicaid who did not receive their desired method of immediate postpartum contraception were unable to obtain it based on insurance ineligibility. By 12 weeks postpartum, the rates of concordance did not differ by insurance status: 52.4% of patients with emergency Medicaid and 55.2% of patients with full scope Medicaid received their desired method of contraception (p 1/4 .46). Emergency Medicaid recipients, largely recent and/or unauthorized immigrants, have high demand for highly effective postpartum contraceptives. Although emergency Medicaid recipients initially had lower rates of receipt of their desired contraceptive during the hospital stay compared with those with full scope Medicaid, they ultimately had similar concordance rates by 12 weeks postpartum. We suspect this finding was in part due to free access to all methods of contraception in our outpatient clinics during the postpartum course.”

According to the news editors, the research concluded: “Systemic barriers should be reduced to ensure better access to postpartum contraceptives for all patients, regardless of insurance coverage, to improve reproductive equity.(.”

This research has been peer-reviewed.

For more information on this research see: Concordance of Desired and Administered Postpartum Contraceptives Among Emergency and Full Scope Medicaid Patients. Women’s Health Issues, 2022;32(4):343-351. Women’s Health Issues can be contacted at: Elsevier Science Inc, Ste 800, 230 Park Ave, New York, NY 10169, USA. (Elsevier - www.elsevier.com; Women’s Health Issues - http://www.journals.elsevier.com/womens-health-issues/)

The news editors report that additional information may be obtained by contacting Carrie H. Wilson, University of Colorado, Dept. of Obstetrics and Gynecology, Division of Family Planning, School of Medicine, Aurora, CO, United States. Additional authors for this research include Aaron Lazorwitz, Jennifer Hyer and Maryam Guiahi.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1016/j.whi.2022.01.008. 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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