Journal article
Comparison of Demographic Characteristics and Outcomes Among Medicaid Beneficiaries Using Medicaid Administrative and Birth Certificate Data
Medical care research and review, Forthcoming
31 Jul 2026
PMID: 42535948
Abstract
State Medicaid programs comprise the largest single payer for obstetric care in the United States, yet little is known about the quality of demographic and outcomes in Medicaid administrative data. We compared demographic characteristics and outcomes in national Medicaid data via the Transformed Medicaid Statistical Information System Analytic Files (TAF) for all persons with a live birth delivery, and National Vital Statistics System (NVSS) birth certificate data for all live births. We calculated percentage-point differences between all measures in the Medicaid and birth certificate data to assess concordance between the data sets. There were higher counts of deliveries in Medicaid relative to birth certificate data, with county and state variation. State-level measures of preterm delivery and Cesarean-section delivery were generally comparable in the two datasets. We observed large differences in the state-level measures of race-ethnicity categories, and substantially lower rates of first-trimester prenatal care initiation in Medicaid compared to birth certificate data.
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Details
- Title
- Comparison of Demographic Characteristics and Outcomes Among Medicaid Beneficiaries Using Medicaid Administrative and Birth Certificate Data
- Creators
- Marian Jarlenski (Corresponding Author) - University of PittsburghSabin Gaire - University of PittsburghEmma Mairson - University of PittsburghJeanine Buchanich - University of PittsburghIrene Headen - Drexel UniversitySydney Sharp - University of PittsburghCynthia Salter - University of PittsburghDara D Mendez - University of Pittsburgh
- Publication Details
- Medical care research and review, Forthcoming
- Publisher
- SAGE Publications
- Number of pages
- 11
- Grant note
- National Institute of Nursing Research: R01NR020670
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Research reported in this publication was supported by the National Institute of Nursing Research of the National Institutes of Health under Award Number R01NR020670. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Community Health and Prevention
- Web of Science ID
- WOS:001836810300001
- Other Identifier
- 991022199451304721