Evidence map›Paper›PMID 38291449›Full record

ArticleBMC health services research2024

The impact of the affordable care act on perinatal mood and anxiety disorder diagnosis and treatment rates among Michigan Medicaid enrollees 2012-2018.

Stephanie V Hall, Kara Zivin, Gretchen A Piatt, Addie Weaver, Anca Tilea, Xiaosong Zhang, Cheryl A Moyer

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Stephanie V HallDepartment of Psychiatry, University of Michigan, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA. stephall@med.umich.edu.
Kara ZivinDepartment of Psychiatry, University of Michigan, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.
Gretchen A PiattDepartment of Learning Health Sciences, University of Michigan, 1111 E Catherine St, Ann Arbor, MI, 48109, USA.
Addie WeaverSchool of Social Work, University of Michigan, 1080 S University Ave, Ann Arbor, MI, 48109, USA.
Anca TileaDepartment of Obstetrics and Gynecology, University of Michigan, 1500 E Medical Center Dr, Ann Arbor, MI, 48109, USA.
Xiaosong ZhangDepartment of Obstetrics and Gynecology, University of Michigan, 1500 E Medical Center Dr, Ann Arbor, MI, 48109, USA.
Cheryl A MoyerDepartment of Learning Health Sciences, University of Michigan, 1111 E Catherine St, Ann Arbor, MI, 48109, USA.
University of Michigan · US

Funding

Blue Cross Blue Shield of Michigan Foundation 002618.IIHSRD VA IK6 HX003397
6 · The paper itself

Abstract

backgroundPerinatal Mood and Anxiety Disorders (PMADs) affect one in five birthing individuals and represent a leading cause of maternal mortality. While these disorders are associated with a variety of poor outcomes and generate significant societal burden, underdiagnosis and undertreatment remain significant barriers to improved outcomes. We aimed to quantify whether the Patient Protection Affordable Care Act (ACA) improved PMAD diagnosis and treatment rates among Michigan Medicaid enrollees.

methodsWe applied an interrupted time series framework to administrative Michigan Medicaid claims data to determine if PMAD monthly diagnosis or treatment rates changed after ACA implementation for births 2012 through 2018. We evaluated three treatment types, including psychotherapy, prescription medication, and either psychotherapy or prescription medication. Participants included the 170,690 Medicaid enrollees who had at least one live birth between 2012 and 2018, with continuous enrollment from 9 months before birth through 3 months postpartum.

resultsACA implementation was associated with a statistically significant 0.76% point increase in PMAD diagnosis rates (95% CI: 0.01 to 1.52). However, there were no statistically significant changes in treatment rates among enrollees with a PMAD diagnosis.

conclusionThe ACA may have improved PMAD detection and documentation in clinical settings. While a higher rate of PMAD cases were identified after ACA Implementation, Post-ACA cases were treated at similar rates as Pre-ACA cases.

Indexed as

MedicaidPatient Protection and Affordable Care ActAnxiety DisordersFemaleHumansInsurance CoverageInterrupted Time Series AnalysisMichiganPregnancyUnited StatesAnxietyDepressionHealth policyMaternal mental healthPerinatal health

Identifiers

PMID38291449
PMCPMC10826065
OpenAlexW4391353291

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.