News & Updates

Variation in Coverage for Progesterone to Prevent Preterm Birth: A Survey of Medicaid Managed Care Organizations (Free Access to Article for 50 Days)


September 14, 2017



Variation in Coverage for Progesterone to Prevent Preterm Birth: A Survey of Medicaid Managed Care Organizations

Pregnant women who have experienced a prior preterm birth are advised to get progesterone injections to prevent another one, but Medicaid coverage of these injections varies between states and managed care organizations. A new study in the journal Women's Health Issues (by Priya Batra, Ashley A. Hernandez Gray, and Jennifer E. Moore) that involved a survey of Medicaid managed care organizations about their coverage policies and procedures for progesterone injections found substantial variations, including differences in prior authorization requirements and the period of pregnancy for which injections were covered. In a companion commentary, Anne Rossier Markus reviews the laws relevant to these coverage policies; her piece can serve as a resource for untangling the policy complexity that can lead to the kinds of coverage variation Batra and colleagues found.

Study: http://www.whijournal.com/article/S1049-3867(17)30051-8/fulltext
Commentary: http://www.whijournal.com/article/S1049-3867(17)30366-3/fulltext

The following link provides free access to readers for 50 days (until November 3, 2017): http://bit.ly/2fkJkSq