Higher mortality in Medicaid infants with birth defects

An observational study from the CDC using birth certificate data analyzed infant mortality rate attributable to major birth defects (nearly 12 per 10,000 live births overall). Compared to infants covered by private insurance, deaths due to birth defects in Medicaid infants in the neonatal period were 12% higher in preterm infants and 44% higher in term infants. In the post-neonatal period, they were 49% and 45% higher in preterm and term infants respectively. These disparities are potentially due to differences in access to care, quality of care or in frequency of termination of pregnancies due to fetal anomalies.

Association between infant mortality attributable to birth defects and payment source for delivery. Almli et al, 2017.