Article: The impact of medicaid managed care on pregnant women in Ohio: a cohort analysis.(Health Insurance)

Two converging trends in the 1980s and 1990s--the Medicaid expansions for pregnant women and the rapid expansion in the use of managed care approaches in Medicaid--have led to a greatly expanded role for managed care in the pregnancies of low income women. The Medicaid program covered a substantial proportion of all births in the United States, from 20 percent to 55 percent depending on the state in the late 1990s (Schwalberg et al. 2001; Tai-Seale et al. 2001), and 48 percent of Medicaid enrollees in the childbearing years were enrolled in health maintenance organizations (HMOs) by 2000 (National Center for Health Statistics 2002).

Pregnant women and their ...

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