How extended Medicaid and required postpartum depression screening affect care after pregnancies with gestational diabetes or high blood pressure
Impact of Medicaid Postpartum Coverage Extension and Mandated Postpartum Depression Screening on Care for Gestational Diabetes and Pregnancy-Induced Hypertension
['FUNDING_OTHER'] · TULANE UNIVERSITY OF LOUISIANA · NIH-11158777
This project compares Louisiana (which extended Medicaid coverage and requires postpartum depression screening) to Mississippi to see if longer coverage and required screening improve blood sugar, blood pressure, and mood follow-up for people who had gestational diabetes or pregnancy-related high blood pressure.
Quick facts
| Phase | ['FUNDING_OTHER'] |
|---|---|
| Study type | Nih_funding |
| Sex | All |
| Sponsor | TULANE UNIVERSITY OF LOUISIANA (nih funded) |
| Locations | 1 site (NEW ORLEANS, UNITED STATES) |
| Trial ID | NIH-11158777 on ClinicalTrials.gov |
What this research studies
You would be part of a comparison between Louisiana and Mississippi after changes in Medicaid postpartum coverage and a new rule requiring postpartum depression screening in Louisiana. The team will link hospital electronic health records and Medicaid billing data to track blood pressure checks, blood sugar monitoring, and depression screening after birth. They will look at people who had gestational diabetes or pregnancy-related high blood pressure across three time periods from 2022 to 2027 to see how care and follow-up changed. The project also includes patient experience information through an existing collaboration to understand barriers to care.
Who could benefit from this research
Good fit: People who had gestational diabetes or pregnancy-induced high blood pressure and delivered in Louisiana or Mississippi during the study periods—especially those covered by Medicaid—are the focus of this work.
Not a fit: People without pregnancy-related diabetes or high blood pressure, or those who delivered outside Louisiana and Mississippi, would not be included and are unlikely to directly benefit from this project.
Why it matters
Potential benefit: If successful, the work could show whether extending Medicaid and mandating depression screening leads to more follow-up care and better long-term health after complicated pregnancies.
How similar studies have performed: Prior research suggests extended postpartum Medicaid coverage can raise follow-up visit rates and that depression screening increases detection, but linking EHR and claims to measure effects specifically after gestational diabetes and pregnancy hypertension is relatively new.
Where this research is happening
NEW ORLEANS, UNITED STATES
- TULANE UNIVERSITY OF LOUISIANA — NEW ORLEANS, UNITED STATES (ACTIVE)
Researchers
- Principal investigator: SHI, LIZHENG — TULANE UNIVERSITY OF LOUISIANA
- Study coordinator: SHI, LIZHENG
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions: Adult-Onset Diabetes Mellitus, Cardiovascular Diseases