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Table 1 Study cohort characteristics by affordable care act implementation timepoints (n = 170,690)a

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

 

Pre-ACA

Post-ACA

Overall

 

1/1/12–12/31/14

1/1/15 − 12/31/18

1/1/12–12/31/18

 

(n = 50,964)

(n = 119,726)

(n = 170,690)

Variable

No. (%)

No. (%)

No. (%)

Perinatal Mood and Anxiety Disorder (PMAD) Diagnosis Rate

   

 PMAD Diagnosis

6443 (12.6%)

20,108 (16.8%)

26,551 (15.6%)

 No PMAD Diagnosis

44,521 (87.4%)

99,618 (83.2%)

144,139 (84.4%)

Any Treatment Rate

   

 Treatment

11,077 (21.7%)

30,490 (25.5%)

41,567 (24.4%)

 No Treatment

39,887 (78.3%)

89,236 (74.5%)

129,123 (75.6%)

Prescription Medication Rate

   

 Prescription Medication

9542 (18.7%)

25,574 (21.4%)

35,116 (20.6%)

 No Prescription Medication

41,422 (81.3%)

94,152 (78.6%)

135,574 (79.4%)

Psychotherapy Rate

   

 Psychotherapy

3347 (6.6%)

10,773 (9.0%)

14,120 (8.3%)

 No Psychotherapy

47,617 (93.4%)

108,953 (91.0%)

156,570 (91.7%)

Age at delivery (years)

   

 < 26 years

25,107 (49.3%)

52,573 (43.9%)

77,680 (45.5%)

 26 years

25,857 (50.7%)

67,153 (56.1%)

93,010 (54.5%)

Race/ethnicity

   

 White

32,037 (62.9%)

71,718 (59.9%)

103,755 (60.8%)

 Non-white/Unknown

18,927 (37.1%)

48,008 (40.1%)

66,935 (39.2%)

OBCMI Score

   

 OBCMI score  2

45,083 (88.5%)

98,933 (82.6%)

144,016 (84.4%)

 OBCMI score > 2

5881 (11.5%)

20,793 (17.4%)

26,674 (15.6%)

  1. aAll Pre-ACA versus Post-ACA differences are significant at p < 0.001