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Medicaid costs and birth outcomes: The effects of prenatal WIC participation and the use of prenatal care

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  • Barbara Devaney
  • Linda Bilheimer
  • Jennifer Schore
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    Abstract

    This study examines the effects of prenatal WIC participation and the use of prenatal care on Medicaid costs and birth outcomes in five states-Florida, Minnesota, North Carolina, South Carolina, and Texas. The study period is 1987 for Florida, Minnesota, North Carolina, and South Carolina and January-June 1988 for Texas. Prenatal WIC participation was associated with substantial savings in Medicaid costs during the first 60 days after birth, with estimates ranging from $277 in Minnesota to $598 in North Carolina. For every dollar spent on the prenatal WIC program, the associated savings in Medicaid costs during the first 60 days ranged from $1.77 to $3.13 across the five states. Receiving inadequate levels of prenatal care was associated with increases in Medicaid costs ranging from $210 in Florida to $1,184 in Minnesota. Prenatal WIC participation was associated with higher newborn birthweight, while receiving inadequate prenatal care was associated with lower birthweight.

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    File URL: http://hdl.handle.net/10.2307/3324956
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    Bibliographic Info

    Article provided by John Wiley & Sons, Ltd. in its journal Journal of Policy Analysis and Management.

    Volume (Year): 11 (1992)
    Issue (Month): 4 ()
    Pages: 573-592

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    Handle: RePEc:wly:jpamgt:v:11:y:1992:i:4:p:573-592

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    Web page: http://www3.interscience.wiley.com/journal/34787/home

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    Cited by:
    1. Joyce, Theodore, 1999. "Impact of augmented prenatal care on birth outcomes of Medicaid recipients in New York City," Journal of Health Economics, Elsevier, Elsevier, vol. 18(1), pages 31-67, January.
    2. Michael Brien & Christopher Swann, 2001. "Does Participation in Multiple Welfare Programs Improve Birth Outcomes?," JCPR Working Papers, Northwestern University/University of Chicago Joint Center for Poverty Research 212, Northwestern University/University of Chicago Joint Center for Poverty Research.
    3. Cristina Yunzal-Butler & Theodore J. Joyce & Andrew D. Racine, 2009. "Maternal Smoking and the Timing of WIC Enrollment," NBER Working Papers 14728, National Bureau of Economic Research, Inc.
    4. Ted Joyce & Andrew Racine & Cristina Yunzal-Butler, 2008. "Reassessing the WIC effect: Evidence from the Pregnancy Nutrition Surveillance System," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 27(2), pages 277-303.
    5. Jens Ludwig & Matthew Miller, 2005. "Interpreting the WIC debate," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 24(4), pages 691-701.
    6. Ted Joyce & Diane Gibson & Silvie Colman, 2004. "The Changing Association Between Prenatal Participation in WIC and Birth Outcomes in New York City," NBER Working Papers 10796, National Bureau of Economic Research, Inc.
    7. Marianne Bitler & Janet Currie, 2004. "Medicaid at Birth, WIC Take Up, and Children's Outcomes," Working Papers, RAND Corporation Publications Department 172, RAND Corporation Publications Department.
    8. Leonard, Jonathan & Mas, Alexandre, 2008. "Welfare reform, time limits, and infant health," Journal of Health Economics, Elsevier, Elsevier, vol. 27(6), pages 1551-1566, December.
    9. Ted Joyce & Diane Gibson & Silvie Colman, 2005. "The changing association between prenatal participation in WIC and birth outcomes in New York City," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 24(4), pages 661-685.
    10. Lee, Bong Joo & Mackey-Bilaver, Lucy, 2007. "Effects of WIC and Food Stamp Program participation on child outcomes," Children and Youth Services Review, Elsevier, Elsevier, vol. 29(4), pages 501-517, April.
    11. Andrew D. Racine & Cristina Yunzal-Butler, 2007. "Reassessing the WIC Effect: Evidence from the Pregnancy Nutrition Surveillance System," NBER Working Papers 13441, National Bureau of Economic Research, Inc.
    12. Gundersen, Craig, 2005. "A dynamic analysis of the well-being of WIC recipients and eligible non-recipients," Children and Youth Services Review, Elsevier, Elsevier, vol. 27(1), pages 99-114, January.
    13. Reichman, Nancy E. & Florio, Maryanne J., 1996. "The effects of enriched prenatal care services on Medicaid birth outcomes in New Jersey," Journal of Health Economics, Elsevier, Elsevier, vol. 15(4), pages 455-476, August.
    14. Jiang, Miao & Foster, E. Michael & Gibson-Davis, Christina M., 2010. "The effect of WIC on breastfeeding: A new look at an established relationship," Children and Youth Services Review, Elsevier, Elsevier, vol. 32(2), pages 264-273, February.
    15. L. Kowaleski-Jones & G. J. Duncan, . "Effects of Participation in the WIC Food Assistance Program on Children’s Health and Development: Evidence from NLSY Children," Institute for Research on Poverty Discussion Papers, University of Wisconsin Institute for Research on Poverty 1207-00, University of Wisconsin Institute for Research on Poverty.

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