Gibbs, S., Harvey, S. M., Bui, L., Oakley, L., Luck, J., & Yoon, J. (2020). Evaluating the effect of Medicaid expansion on access to preventive reproductive care for women in Oregon. Preventive medicine, 130, 105899. https://doi.org/10.1016/j.ypmed.2019.105899 Access Abstract
NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PAYER, Expanded Insurance Coverage
Intervention Description: First, we compared service receipt among continuing Medicaid enrollees pre- and post-ACA. We then compared receipt among new post-ACA Medicaid enrollees to receipt by continuing enrollees after ACA implementation. Using Medicaid enrollment and claims data, we identified well-woman visits, contraceptive counseling, contraceptive services, sexually transmitted infection (STI) screening, and cervical cancer screening among women ages 15–44 in years when not pregnant. For pre-ACA enrollees, we assessed pre-ACA receipt in 2011–2013 (n = 83,719) and post-ACA receipt in 2014–2016 (n = 103,225). For post-ACA enrollees we similarly assessed post-ACA service receipt (n = 73,945) and compared this to service receipt by pre-ACA enrollees during 2014–2016.
Conclusion: Despite small declines in receipt of several preventive reproductive services among prior enrollees, the ACA resulted in Medicaid financing of these services for a large number of newly enrolled low-income women in Oregon, which may eventually lead to population-level improvements in reproductive health. These findings among women in Oregon could inform Medicaid coverage efforts in other states.
Significant Findings: no
Setting: Oregon state Medicaid expansion program
Target Audience: Low-income non-pregnant women aged 15–44 enrolled in Oregon's Medicaid program in 2011–2016