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A new study appearing in Jama health forum is the first to show that black, hispanic and asian people with private insurance tend to pay more out-of-pocket for maternity care than white people.
“The average additional spending on medical care from pregnancy through postpartum paid by people who are black, HISPANIC and Asian is Significly more than white people,” Rebecca gourevitch, the Study’s Lead Author and An Assistant Professor in the Department of Health Policy and Management at the University of Maryland School of Public Heart (UMD Sph).
“We found that out-of-track costs Were Highest for Black People Overall through pregnancy, delivery and postpartum. The Study Shows Yet Another Way That People from Different and Etithk Groups are having different experiences of Maternity Care. And The Burden of Greater Out-of-Pocket COSTS BLD HAVE A Real Impact On Maternal Health. “
Differences Were Most Pronounted during pregnancy: For recommended Prenatal Care Services, Black People Paid on Average 74% More, Hispanic People 51% and HISINIC people 51% and Asian People 4% More than VHOPLE PEHITE PEOPLE, The Study, The Study Found. At delivery and postpartum, disparities were smaller. Overall, Black and Hispanic People’s out-of-Pocket costs on Maternity care was a significant higher proportion of their household income.
LED by Researchers at UMD Sph and the Harvard Th Chan School of Public Health, The Study Measure Measured Out-OF-POCKET Spend in Over 87,000 pregnancy, deliveries, deliveries and the first 42 days postpartum. Researchers revised anonymized data from blue cross blue shield of massachusetts (BCBSMA) Over five years (2018–2022). The researchers measured out-of-foot speculation in dollars and as a percentage of media household income in the Member’s Area. Over a Quarter (26.9%) of pregnancies was in area with a median household income of $ 75,000 or less.
“Blue Cross has long prioritized closing Inequities in health care and helping improve care for everything. Health Outomes as a Basis for Designing Solutions that Make Care More Equitable, “Said Dr. Mark friedberg, Senior Vice President of Performance Measurement and Improvement at Blue Cross and Study Co-Author.
Gourevitch say that Spending Disparities Are In Large Part Driven by Coinsurance Rates. Coinsurance is the percentage of the cost of a medical service that the patient that is paid, after they have paid their plans’s annual deeductable Amount. Black or hispanic people are more likely to be enrolled in insurance plans that have high coinsurance levels, Above 10%.
“Coinsurance often only applies to care provided in the hospital. Author and Associate Professor of Health Economics and Policy at Harvard’s Th Chan School of Public Health.
Some States, Including Massachusetts, Are Considering Legislation to Eliminate out-of-Pocket Costs for Maternity Care, According to the Boston Globe. Based on their findings, gourevitch and sinaiiko say this kind of policy change would have the largest impact on black and hispanic people, who face the right costs.
“Our Results Reveal that Health Insurance Companies, Employers and PolicyMakers have an options to lower out-off-road costs for all pregnant and postpartum Peoparities In costs by changing how health insurance plans are designed, “said gourevitch.
More information:
Racial and ethnic differences in out-of-pocket spending for maternity care, Jama health forum (2025). Doi: 10.1001/Jamahealthforum.2024.5565
Citation: Maternity Care Spending: Study Reveals Racial and Ethnic Disparities (2025, February 28) Retrieved 28 February 2025 from
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