Postpartum Medicaid enrollment and churn in North Carolina.

Challenge

Postpartum Medicaid enrollment transitions including coverage gaps and churn in North Carolina had not been quantified, creating a blind spot in understanding health system pathways affecting maternal healthcare access.

Solution

Target RWE researchers analyzed North Carolina Medicaid enrollment data to characterize postpartum coverage patterns, quantifying the prevalence and timing of enrollment gaps, churn, and lapses among newly postpartum women.

Impact

Documenting postpartum Medicaid coverage instability in North Carolina provides state health policy partners with actionable evidence for designing continuous coverage interventions protecting maternal health access.