• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Obstetrics

Affordable Care Act likely to lead to better prenatal care for women under 26

byQasim HussainiandDaniel Fisher
February 14, 2018
in Obstetrics, Pediatrics, Public Health
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

1. Ability to stay on parents’ insurance plan through the Affordable Care Act (ACA) was associated with a modest reduction in preterm births, though there were no changes in cesarean delivery rates, low birth weight, or NICU admissions.

2. Women under 26 years old on ACA had increased private insurance payments, reduced Medicaid and self-payment, and increased prenatal care.

Evidence Rating Level: 2 (Good)

Study Rundown: The ACA requires that private insurers allow young adults to be able to stay on their parents’ insurance plans until their 26th birthday. As one-third of US births occur in women that are between 19-25 years old, the ACA is likely to promote increased access to prenatal care and potentially better outcomes. In this retrospective cohort study, women aged 24 to 25 were found to have reduced pre-term births during enactment of the ACA compared to before. In addition, women on ACA had increased private insurance payments, reduced Medicaid and self-payment, and increased early and adequate prenatal care. These changes were primarily observed among unmarried women. Of note, there were no changes in low birth weight, NICU admission, or cesarean delivery.

Overall, this study of 3 million birth suggests that the ACA dependent coverage provision is associated with improved prenatal care. One limitation of the study is that it compared outcomes from earlier years before ACA and later years after ACA, representing a possible confounder based on other changing policies and practices over time. Future directions may include examining other aspects of ACA and insurance coverage on maternal and children’s health outcomes.

Click to read the study, published in JAMA

Relevant Reading: Changes in Health and Medical Spending Among Young Adults Under Health Reform

RELATED REPORTS

Higher rate of adverse events following abortion induced by mifepristone-misoprostol than procedurally

2 Minute Medicine Rewind January 2, 2023

Medicaid is a long-term source of insurance coverage for low-income families

In-Depth [retrospective cohort]: This study was conducted in the United States and utilized individuals from the Centers for Disease Control and Prevention public-use natality files. The study utilized a difference-in-differences analysis comparing an exposure group of young adults using the ACA provision (24 to 25 years old) to a control group of older adults (27 to 28 years old) across two periods: one before ACA was enacted (2009) and one after (2013). Primary outcomes that were studied in this group were included across 3 domains: insurance status, access to care, and health.

Overall, 3 million births were analyzed in this study. Of these, 1 379 005 births in the exposure group (299 024 in 2009 and 1 079 981 in 2011-2013) and 1 551 192 births in the control group (325 564 in 2009 and 1 225 628 in 2011-2013). From 2011-2013, compared with 2009, the exposure group was found to have increased private payment for birth (1.9%; CI95 1.6 to 2.1%), increased prenatal care use (1%; CI95 0.7 to 1.2%) and modest reduction in preterm births (-0.2%; CI95 -0.3 to -0.03). No changes were found in low birth weight, NICU admission, or cesarean delivery (p > 0.05).

Image: CC/Wiki

©2018 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: Affordable Care Acthealth policyobstetrics
Previous Post

Pulmonary Embolism Rule-out Criteria non-inferior to usual care for patients at low-risk for pulmonary embolism

Next Post

Influenza vaccine not associated with increased risk of epilepsy in children

RelatedReports

Nearly Half of All Pediatric Buprenorphine Exposures Result in Hospitalization
Emergency

Higher rate of adverse events following abortion induced by mifepristone-misoprostol than procedurally

January 10, 2023
Stochastic resonance stimulation may decrease apnea of prematurity
Weekly Rewinds

2 Minute Medicine Rewind January 2, 2023

January 3, 2023
Parental debt influences child socioemotional well-being
Chronic Disease

Medicaid is a long-term source of insurance coverage for low-income families

December 23, 2022
Late gestation antidepressant use linked to postpartum hemorrhage
Obstetrics

Monofilament suture does not reduce pregnancy loss compared to braided suture for cervical cerclage

December 13, 2022
Next Post
Influenza vaccine not associated with increased risk of epilepsy in children

Influenza vaccine not associated with increased risk of epilepsy in children

Childhood asthma rates decreasing, except among the poor

Nusinersen improves motor function in children with later-onset spinal muscular atrophy: The CHERISH trial

Physician visual assessment of coronary stenosis severity overestimates quantitative coronary angiography

No benefit of sodium bicarbonate or acetylcysteine for prevention of complications after angiography: The PRESERVE trial

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Higher body mass index may be associated with altered vitamin D levels and metabolism
  • #VisualAbstract: Torsemide does not provide additional decrease in mortality compared to furosemide among patients hospitalized for heart failure
  • Community-based adult vision screening program increases access to eye care
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options