Mathematica, 220 East Huron Street, Suite 300, Ann Arbor, MI, 48104, USA.
University of Michigan Medical School, Ann Arbor, USA.
BMC Pregnancy Childbirth. 2022 Sep 12;22(1):700. doi: 10.1186/s12884-022-05001-6.
Maternal mental health conditions (MMHCs), which include depression and anxiety disorders during pregnancy and through five years postpartum, are among the most common obstetric complications in the United States overall and in Texas in particular. In the context of potential expansion of postpartum Medicaid coverage from 60 days to one year, we sought to capture the societal, financial burden of untreated MMHCs.
We estimated the economic impact of untreated maternal mental health conditions (MMHCs) among births in Texas in 2019 using a cost-of-illness model.
We found that MMHCs affected 13.2% of mothers and, when left untreated, cost $2.2 billion among mothers and children born in Texas in 2019 when following the birth cohort from conception through five years postpartum. We found that MMHCs affected 17.2% of mothers enrolled in Texas' Medicaid for Pregnant Women and cost $962 million. In addition, the prevalence of MMHCs and resulting costs varied considerably among women of different races and ethnicities. Employers and health care payers, including Medicaid, bore most of these costs.
The Texas Health and Human Services Commission's (HHSC) efforts to increase awareness about MMHCs and increase access to care represent an important step toward improving maternal and child health and maximizing benefits to Texas HHSC, employers, and insurers.
孕产妇心理健康状况（MMHC），包括孕期和产后五年期间的抑郁和焦虑障碍，是美国乃至德克萨斯州最常见的产科并发症之一。在后产后医疗补助扩大覆盖范围从 60 天到一年的背景下，我们试图了解未治疗的 MMHC 对社会和经济的负担。
我们使用疾病成本模型来估计 2019 年德克萨斯州出生的未治疗孕产妇心理健康状况（MMHC）的经济影响。
我们发现 MMHC 影响了 13.2%的母亲，并且在 2019 年，当从受孕开始跟踪出生队列到五年产后时，未治疗的 MMHC 在德克萨斯州的母亲和儿童中造成了 22 亿美元的成本。我们发现，在德克萨斯州的孕妇医疗补助计划（Medicaid）中，17.2%的母亲患有 MMHC，成本为 9.62 亿美元。此外，不同种族和族裔的女性中 MMHC 的患病率和相关成本差异很大。雇主和医疗保健支付者，包括医疗补助，承担了这些费用的大部分。
德克萨斯州卫生与公众服务委员会（HHSC）提高对 MMHC 的认识并增加获得治疗的机会的努力，是改善母婴健康并最大限度地提高德克萨斯州 HHSC、雇主和保险公司的利益的重要一步。
