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Association between South Carolina Medicaid’s change in payment for immediate postpartum long-acting reversible contraception and birth intervals

JAMA Jul 10, 2019

Steenland MW, et al. - Experts assessed the association between South Carolina Medicaid’s change in payment in immediate postpartum long-acting reversible contraception (IPP-LARC) use and short-interval births. Adverse newborn outcomes were affiliated with short interpregnancy intervals (defined variously as 6, 12, 18, or 24 months between pregnancies). South Carolina’s Medicaid program (that covered 60% of the state’s births) started compensating hospitals for IPP-LARC individually from the global payment, in March 2012. Hence, receipt of an intrauterine device or contraceptive implant prior to the hospital discharge after birth was recommended in order to diminish short interpregnancy intervals, however, IPP-LARC use persisted to be inadequate in the United States. Furthermore, payers’ common practice of giving one global payment for all aids throughout a delivery hospitalization could disincentivize IPP-LARC provision.
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