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West Ashley Library
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Effect of the Affordable Care Act on Disparities in Breastfeeding: The Case of Maine.
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- Author(s): Hawkins, Summer Sherburne; Noble, Alice; Baum, Christopher F.
- Source:
American Journal of Public Health. Jul2017, Vol. 107 Issue 7, p1119-1121. 3p. - Source:
- Additional Information
- Subject Terms: PATIENT Protection & Affordable Care Act; HUMAN breastfeeding laws; HEALTH equity; WOMEN'S health; HEALTH insurance claims; BREAST pumps; LACTATION; MEDICAID; EDUCATION; PRICES; U.S. states; BREASTFEEDING; HEALTH services accessibility; HEALTH status indicators; INSURANCE; INSURANCE companies; HEALTH insurance; PRIVATE sector
- Subject Terms:
- Abstract: Objectives. To evaluate the Affordable Care Act (ACA) breastfeeding provision and test whether changes in coverage affected women differently according to health insurance status. Methods. We used the All-Payer Claims Database from Maine (2012-2014) to compare health insurance claims for lactation classes and breast pumps between women with private insurance and women with Medicaid (1) before the ACA breastfeeding provision, (2) after the provision came into effect, and (3) after health insurance expansion through the Marketplace. Results. We found limited change in claims for lactation classes over the study period. By contrast, the number of claims for breast pumps among women with private insurance increased from 70 claims in the third quarter of 2012 to 629 claims 1 year later and 803 claims in the third quarter of 2014. Women with Medicaid had only 11 claims for breast pumps over the entire study period. Conclusions. This 11-fold rise in claims for breast pumps by women with private insurance suggests that these women will likely increase breastfeeding initiation or duration; however, without additional support for women with Medicaid, disparities in breastfeeding may increase. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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