Medicaid coverage and medical interventions during pregnancy.
This paper extends prior research on the effect of Medicaid coverage on medical interventions during pregnancy (prenatal ultrasound) and birth (ultrasound during delivery, cesarean delivery, inducement, and fetal monitor). The data are from two sources: the New York State Vital Statistics (VS) matched infant birth-death file and the Statewide Planning and Research Cooperative System (SPARCS) file for 1993--1996. Medicaid coverage increases the likelihood of teens and adults receiving prenatal care relative to being uninsured. Overall, the effect of insurance type varies depending on whether the procedure is part of standard care (ultrasound and fetal monitor) or more likely to be elective (inducement and cesarean delivery). Insurance type has a greater effect for elective procedures than for procedures that are part of standard care.
Turcotte
Leo
L
Department of Economics and Finance, West Chester University, West Chester, PA, 19383, lturcotte@wcupa.edu.
Robst
John
J
Polachek
Solomon
S
D000293:Adolescent; D000328:Adult; D002585:Cesarean Section / Q000191:economics / Q000706:statistics & numerical data; D036861:Delivery, Obstetric / Q000191:economics* / Q000379:methods; D005260:Female; D005323:Fetal Monitoring / Q000191:economics / Q000706:statistics & numerical data; D006297:Health Services Accessibility; D006801:Humans; D019458:Insurance Coverage; D008484:Medicaid / Q000191:economics* / Q000706:statistics & numerical data; D017059:Models, Econometric; D009518:New York; D011247:Pregnancy; D011248:Pregnancy Complications / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control; D011295:Prenatal Care / Q000191:economics* / Q000706:statistics & numerical data; D011296:Prenatal Diagnosis / Q000191:economics* / Q000379:methods / Q000706:statistics & numerical data; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal / Q000191:economics / Q000706:statistics & numerical data