Changes in insurance coverage for women after childbirth during the pandemic

“Research have proven that the postpartum interval is normally a interval of elevated insured instability, primarily as a result of people [with] Principal investigator Erica Eliasson, MD, a Postdoctoral Analysis Fellow in Well being Providers, Coverage, and Observe at Brown College’s Faculty of Public Well being in Windfall, Rhode Island, mentioned pregnancy-related Medicaid protection loses eligibility 60 days after start. “Consequently, people should qualify for parental Medicaid to take care of Medicaid protection past this era, which has extra restricted revenue eligibility, or discover different insurance coverage choices.”

The change in insurance coverage eligibility results in a better fee of postpartum uninsured for these with pregnancy-related Medicaid protection, in keeping with Eliasson. “Nevertheless, to reinforce entry to insurance coverage through the COVID-19 public well being emergency, there was a Medicaid coverage change that has frozen deregistration, which means that anybody who would have misplaced Medicaid eligibility can not achieve this.”

Medicaid’s epidemiological coverage impressed the authors to look at modifications in eligibility for postpartum Medicare, “which have been of curiosity to latest coverage on the state and nationwide ranges,” Eliasson mentioned. Up to date OB/GYN®.

The investigators excluded information from 2019 to 2021 from the Present Inhabitants Survey, Annual Socioeconomic Complement. (Of the 4,448 postpartum respondents, the shift from the insured to the uninsured decreased by 1.3%, from 3.1% in 2019 (earlier than the pandemic) to 1.8% through the pandemic in 2021. The outcomes didn’t point out some other vital modifications protection on the whole.1

In 2019, 88.2% of postpartum respondents with Medicaid within the earlier 12 months had constant Medicaid protection, whereas 10.3% misplaced protection and 1.6% modified to non-public protection.

In 2021, constant Medicaid protection elevated by 6.8% and the Medicaid uninsured help fee decreased by 6.6%, which is a 64% lower from 2019.

In 2019, 97.1% of all postpartum respondents who had personal protection through the earlier 12 months additionally maintained constant personal protection, whereas 1.4% had issues with personal Medicaid and 1.3% misplaced protection.

In comparison with 2019, personal Medicaid use elevated 1.5% in 2021.

“The outcomes had been just about what we had been anticipating,” Eliasson mentioned. “Though the pandemic coverage was not particular to selling postpartum Medicaid, we might count on enhancements in postpartum Medicaid, as a result of a lot of them had been shedding Medicaid protection on this interval earlier than the coverage change.”

Eliasson famous that a rise in steady postpartum protection ought to present improved entry to postpartum care, “however this coverage change occurred through the pandemic, which different analysis has proven has lowered healthcare use, so it might not have achieved the identical enhancements in The postpartum interval. Getting the care that may have occurred had it not been for the pandemic.”

“People could not have recognized they had been nonetheless insured, and consequently they could not have seen an enchancment in entry to postpartum care,” Eliasson mentioned.

The Medicaid coverage change for the pandemic continues to be prolonged, however is at the moment scheduled to run out in July 2022. “When this coverage is lifted, postpartum people whose pregnancy-related Medicaid protection would have been discontinued after 60 days postpartum will lose this Medicaid protection,” Eliasson mentioned, “And we will see massive numbers of people that have secure Medicaid throughout a pandemic immediately are uninsured.”


  1. Eliason EL, Daw JR, Steenland MW. Adjustments in postpartum insurance coverage protection in the USA through the COVID-19 pandemic. Gamma Well being Discussion board. Printed on-line April 22, 2022. doi: 10.1001/jamahealthforum.2022.0688