Objective: To assess the importance of Pennsylvania Medicaid immediate postpartum long-acting reversible contraception (IPLARC) reimbursement policy changes for hospital implementation of IPLARC by rurality.
Study Design: We surveyed clinician leaders at 51/82 (62.2%) Pennsylvania hospitals with L&D units in 2022, including 10/51 (19.6%) rural and 17/51 (33.3%) academic.
Results: Six years after Pennsylvania Medicaid began covering IPLARC outside the obstetrical care bundle, only 3/10 (30.0%) rural and 18/41 (43.9%) non-rural L&D units had implemented IPLARC.
Conclusions: Fewer than half of delivering hospitals in Pennsylvania offered access to IPLARC, even after favorable Medicaid reimbursement policy changes. Non-rural hospitals are more likely to offer IPLARC than rural hospitals.
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| http://dx.doi.org/10.1016/j.contraception.2025.110858 | DOI Listing |
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