%0 Journal Article
%T Modeling the impact of decreasing waiting period length for Medicaid sterilization: A multi-site cohort study.
%A Berg KA
%A Gunzler DD
%A Miller E
%A Boozer M
%A Serna T
%A Bailit JL
%A Arora KS
%J Contraception
%V 0
%N 0
%D 2024 Jun 21
%M 38909745
%F 3.051
%R 10.1016/j.contraception.2024.110531
%X OBJECTIVE: To evaluate the impact of length of the Medicaid sterilization waiting period and postpartum permanent contraception fulfillment.
METHODS: Simulations from a retrospective cohort study estimating the potential increase in permanent contraception within 365 days of delivery.
RESULTS: In our sample of 2076 patients, 61% achieved permanent contraception with the current waiting period of 30 days. With the waiting period hypothetically reduced to 15, 3, 1, and 0 days, 62.9%, 63.7%, 64.5%, and 75% patients, respectively, would have achieved permanent contraception.
CONCLUSIONS: As potential Medicaid sterilization policy revisions are considered, understanding the impact on fulfillment rates is critical.