Medicaid Expansion at Title X Clinics: Client Volume, Payer Mix, and Contraceptive Method Type.

ABSTRACT:

Background

Title X supports access to family planning and preventive care services. Given its focus on low-income clients, Title X clinics may have been particularly affected by the Affordable Care Act's Medicaid expansion.

Objectives

To examine the impact of the Affordable Care Act's Medicaid expansion on Title X client volumes, health insurance coverage, and contraceptive method mix.

Research design

A difference-in-differences design compared changes in the outcomes of interest before and after expansion, for expansion versus nonexpansion states.

Subjects

Administrative data from Family Planning Annual Reports that describe Title X clients who sought services.

Measures

Female client volume was measured using a participation ratio defined as the number

SUBMITTER: Boudreaux M 

PROVIDER: S-EPMC6522286 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature