>RP-698
The effects of Florida's Medicaid eligibility expansion for pregnant women
by Stephen H Long, M. Susan Marquis
Birth Weight,
Maternal Health,
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To study the effects of Florida's 1989 expansion in the Medicaid income eligibility threshold for pregnant women, the authors performed concurrent and longitudinal comparisons with matched birth and death certificates, hospital discharge data, Medicaid eligibility records, and records from county health departments for women giving birth in a 12-month period in 1998-1989 or in calendar year 1991. Measures included the amount and timing of prenatal care and rates of low birthweight and infant death. Medicaid expansion led to greater access and improved birth outcomes. For example, the rate of low-birthweight infants among low-income women without private insurance fell from 69.7 to 61.8 per 1000, while it remained unchanged for low-income women with private insurance. Women in the expansion group who used county health departments had fewer low-birthweight infants than those using other delivery systems. The benefits from the Florida expansion appear to be greater than those reported for others states. The role of the public health delivery system may account for some of Florida's success.
Originally published in: American Journal of Public Health, v. 88, no. 3, March 1998, pp. 371-376.
This report is part of the RAND Corporation reprint series. The Reprint was a product of the RAND Corporation from 1992 to 2011 that represented previously published journal articles, book chapters, and reports with the permission of the publisher. RAND reprints were formally reviewed in accordance with the publisher's editorial policy and compliant with RAND's rigorous quality assurance standards for quality and objectivity. For select current RAND journal articles, see External Publications.
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Document Number: RP-698
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Long, Stephen H and M. Susan Marquis, The effects of Florida's Medicaid eligibility expansion for pregnant women. Santa Monica, CA: RAND Corporation, 1998. https://www.rand.org/pubs/reprints/RP698.html. Also available in print form.
Long, Stephen H and M. Susan Marquis, The effects of Florida's Medicaid eligibility expansion for pregnant women, Santa Monica, Calif.: RAND Corporation, RP-698, 1998. As of January 14, 2020: https://www.rand.org/pubs/reprints/RP698.html