The economic impact of untreated maternal mental health conditions in Texas
Abstract Background Maternal mental health conditions (MMHCs), which include depression and anxiety disorders during pregnancy and through five years postpartum, are among the most common obstetric complications in the United States overall and in Texas in particular. In the context of potential exp...
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| Format: | Article |
| Language: | English |
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BMC
2022-09-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-022-05001-6 |
| _version_ | 1798036393758294016 |
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| author | Caroline Margiotta Jessica Gao So O’Neil Divya Vohra Kara Zivin |
| author_facet | Caroline Margiotta Jessica Gao So O’Neil Divya Vohra Kara Zivin |
| author_sort | Caroline Margiotta |
| collection | DOAJ |
| description | Abstract Background Maternal mental health conditions (MMHCs), which include depression and anxiety disorders during pregnancy and through five years postpartum, are among the most common obstetric complications in the United States overall and in Texas in particular. In the context of potential expansion of postpartum Medicaid coverage from 60 days to one year, we sought to capture the societal, financial burden of untreated MMHCs. Methods We estimated the economic impact of untreated maternal mental health conditions (MMHCs) among births in Texas in 2019 using a cost-of-illness model. Results We found that MMHCs affected 13.2% of mothers and, when left untreated, cost $2.2 billion among mothers and children born in Texas in 2019 when following the birth cohort from conception through five years postpartum. We found that MMHCs affected 17.2% of mothers enrolled in Texas’ Medicaid for Pregnant Women and cost $962 million. In addition, the prevalence of MMHCs and resulting costs varied considerably among women of different races and ethnicities. Employers and health care payers, including Medicaid, bore most of these costs. Conclusions The Texas Health and Human Services Commission’s (HHSC) efforts to increase awareness about MMHCs and increase access to care represent an important step toward improving maternal and child health and maximizing benefits to Texas HHSC, employers, and insurers. |
| first_indexed | 2024-04-11T21:12:17Z |
| format | Article |
| id | doaj.art-c7b0b428c59d4bf59f349c1ed616473d |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-11T21:12:17Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-c7b0b428c59d4bf59f349c1ed616473d2022-12-22T04:02:59ZengBMCBMC Pregnancy and Childbirth1471-23932022-09-0122111010.1186/s12884-022-05001-6The economic impact of untreated maternal mental health conditions in TexasCaroline Margiotta0Jessica Gao1So O’Neil2Divya Vohra3Kara Zivin4MathematicaMathematicaMathematicaMathematicaMathematicaAbstract Background Maternal mental health conditions (MMHCs), which include depression and anxiety disorders during pregnancy and through five years postpartum, are among the most common obstetric complications in the United States overall and in Texas in particular. In the context of potential expansion of postpartum Medicaid coverage from 60 days to one year, we sought to capture the societal, financial burden of untreated MMHCs. Methods We estimated the economic impact of untreated maternal mental health conditions (MMHCs) among births in Texas in 2019 using a cost-of-illness model. Results We found that MMHCs affected 13.2% of mothers and, when left untreated, cost $2.2 billion among mothers and children born in Texas in 2019 when following the birth cohort from conception through five years postpartum. We found that MMHCs affected 17.2% of mothers enrolled in Texas’ Medicaid for Pregnant Women and cost $962 million. In addition, the prevalence of MMHCs and resulting costs varied considerably among women of different races and ethnicities. Employers and health care payers, including Medicaid, bore most of these costs. Conclusions The Texas Health and Human Services Commission’s (HHSC) efforts to increase awareness about MMHCs and increase access to care represent an important step toward improving maternal and child health and maximizing benefits to Texas HHSC, employers, and insurers.https://doi.org/10.1186/s12884-022-05001-6Maternal mental health conditionsCost-of-illnessHealth care payersTexas |
| spellingShingle | Caroline Margiotta Jessica Gao So O’Neil Divya Vohra Kara Zivin The economic impact of untreated maternal mental health conditions in Texas BMC Pregnancy and Childbirth Maternal mental health conditions Cost-of-illness Health care payers Texas |
| title | The economic impact of untreated maternal mental health conditions in Texas |
| title_full | The economic impact of untreated maternal mental health conditions in Texas |
| title_fullStr | The economic impact of untreated maternal mental health conditions in Texas |
| title_full_unstemmed | The economic impact of untreated maternal mental health conditions in Texas |
| title_short | The economic impact of untreated maternal mental health conditions in Texas |
| title_sort | economic impact of untreated maternal mental health conditions in texas |
| topic | Maternal mental health conditions Cost-of-illness Health care payers Texas |
| url | https://doi.org/10.1186/s12884-022-05001-6 |
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