More than one-third of insured Massachusetts individuals changed insurance type during the perinatal period umassamherst jamanetworkopen
). More than one-third of deliveries had an insurance transition during the 12 months before and/or after delivery. Among those with any insurance transition, 24.0% had postpartum insurance transitions only, 38.8% had predelivery transitions only, and 37.2% had both predelivery and postpartum transitions. About one-third of the sample resided in a zip code in the lowest quartile of median income, and 5.8% resided in a zip code with concentrated poverty.
Six months after delivery, more than 96.3% of individuals with private insurance in the delivery month remained enrolled in private insurance. Moreover, 80.1% of individuals with Medicaid and 78.7% of individuals with Medicaid managed care had the same insurance type. Among those who transitioned from Medicaid, 64.3% switched to Medicare managed care. Among those who changed their insurance from Medicaid managed care, 69.4% switched to Medicaid.
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