Rebecca Gieseker1, Sarah Garcia-Ricketts2, Lee Hasselbacher3, Debra Stulberg4. 1. University of Chicago Pritzker School of Medicine, 924 E 57th St Suite 104, Chicago, IL 60637, USA. Electronic address: Rebecca.gieseker@gmail.com. 2. University of Chicago Pritzker School of Medicine, 924 E 57th St Suite 104, Chicago, IL 60637, USA. Electronic address: Sarah.Garcia@uchospitals.edu. 3. Ci3, Section of Family Planning & Contraceptive Research, University of Chicago, 5841 S. Maryland Ave, Chicago, IL 60637, USA. Electronic address: lhasselbacher@bsd.uchicago.edu. 4. Department of Family Medicine, University of Chicago, 5841 S. Maryland Ave, MC 7110, Suite M-156, Chicago, IL 60637, USA. Electronic address: dstulber@bsd.uchicago.edu.
Abstract
OBJECTIVES: To identify religious affiliations of hospitals and access to family planning (FP) care available to publicly insured women in Cook County, Illinois. DESIGN: We analyzed Illinois public insurance enrollment data and family planning service claims (2015-2018) for women 18-45. RESULTS: Eighty-five percent of Black/Hispanic women were enrolled in Medicaid managed care plans with a higher percentage of Catholic healthcare than Cook County as a whole compared to 75% of White women (p<0.0001). There were fewer FP services at Catholic (IRR 0.072, 95% CI 0.068-0.076) and Christian non-Catholic (IRR 0.55, 95% CI 0.53-0.56) compared to non-religious hospitals. CONCLUSIONS: Medicaid managed care plans may restrict family planning care by limiting patients to religious hospitals.
OBJECTIVES: To identify religious affiliations of hospitals and access to family planning (FP) care available to publicly insured women in Cook County, Illinois. DESIGN: We analyzed Illinois public insurance enrollment data and family planning service claims (2015-2018) for women 18-45. RESULTS: Eighty-five percent of Black/Hispanic women were enrolled in Medicaid managed care plans with a higher percentage of Catholic healthcare than Cook County as a whole compared to 75% of White women (p<0.0001). There were fewer FP services at Catholic (IRR 0.072, 95% CI 0.068-0.076) and Christian non-Catholic (IRR 0.55, 95% CI 0.53-0.56) compared to non-religious hospitals. CONCLUSIONS: Medicaid managed care plans may restrict family planning care by limiting patients to religious hospitals.
Authors: Maria I Rodriguez; Ann Martinez Acevedo; Jonas J Swartz; Aaron B Caughey; Amy Valent; K John McConnell Journal: JAMA Netw Open Date: 2022-04-01