https://researchopenworld.com/the-effect-of-health-insurance-expansion-under-the-affordable-care-act-on-maternal-mortality-rates/#

Abstract

Although the risk of death from complications of pregnancy in the last century has decreased dramatically, maternal mortality rates are rising in the United States. A significant proportion of these events are preventable with a timely access to medical care. This study estimates the effect of insurance access and Medicaid expansion under the Affordable Care Act on the variance in maternal mortality rates across states. We use maternal mortality data as estimated by the Centers for Disease Control and Prevention (CDC) and multivariate regression analysis to explain the wide variation in maternal mortality across states. Regression results indicate that insurance has a significant impact on state maternal mortality rates (p<0.05). Medicaid expansion does not affect mortality rates but is effective at decreasing maternal mortality in states with higher poverty rates (p<0.1). This study finds that access to insurance and early medical interventions as measured by a prenatal care visit before the third trimester can have a statistically significant effect on decreasing maternal mortality in the United States.