{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T19:51:31Z","timestamp":1773258691479,"version":"3.50.1"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T00:00:00Z","timestamp":1692835200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>As health systems pivot toward value-based care and as the reversal of Roe vs Wade has significantly decreased access to abortion care in the United States, contraception is increasingly recognized as a high-value health service. However, the United States has a long and troubling history of using contraceptive policies and practices, including forced sterilization, to limit the reproductive rights of people of color and individuals with disabilities. We hope to highlight an innovative program developed by Massachusetts\u2019 Medicaid program, which seeks to expand access to long-acting reversible contraception (LARC) within primary care clinics in a way that promotes both value and reproductive justice. This program provides financial incentives for clinics that serve patients with Medicaid to offer LARC to all patients within the primary care space. Unlike LARC programs that exclusively target patients with Medicaid insurance and provide incentivizes based on number of LARC insertions, this policy has the potential to \u201clift all boats\u201d and expand access to LARC for all patients regardless of payer. Careful evaluation of this program will be necessary to ensure that the intended outcomes\u2014to increase access to LARC, promote reproductive justice, and deliver value to the health system\u2014are achieved.<\/jats:p>","DOI":"10.1093\/haschl\/qxad035","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T19:25:35Z","timestamp":1692905135000},"source":"Crossref","is-referenced-by-count":1,"title":["Massachusetts\u2019 innovative policy approach to expanding contraceptive options in primary care"],"prefix":"10.1093","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1506-3090","authenticated-orcid":false,"given":"Chloe","family":"Ciccariello","sequence":"first","affiliation":[{"name":"Boston Medical Center, Section of General Internal Medicine, Boston, MA 02118 , United States"},{"name":"Boston University, Boston, MA 02118 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9920-4882","authenticated-orcid":false,"given":"Viveka R","family":"Prakash-Zawisza","sequence":"additional","affiliation":[{"name":"Massachusetts Executive Office of Health and Human Services, MassHealth, Boston, MA 02108 , United States"},{"name":"University of Massachusetts Chan Medical School, Department of Obstetrics and Gynecology, Worcester, MA 01605 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lydia E","family":"Pace","sequence":"additional","affiliation":[{"name":"Connors Center for Women's Health and Gender Biology, Brigham and Women's Hospital, Boston, MA 02115 , United States"},{"name":"Harvard Medical School, Boston, MA 02115 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,8,24]]},"reference":[{"issue":"17","key":"2023090415341579400_qxad035-B1","doi-asserted-by":"crossref","first-page":"1689","DOI":"10.1001\/jama.2022.19468","article-title":"Advancing birth equity in a post-Dobbs US","volume":"328","author":"Crear-Perry","year":"2022","journal-title":"JAMA"},{"key":"2023090415341579400_qxad035-B2"},{"issue":"21","key":"2023090415341579400_qxad035-B3","doi-asserted-by":"crossref","first-page":"1998","DOI":"10.1056\/NEJMoa1110855","article-title":"Effectiveness of long-acting reversible contraception","volume":"366","author":"Winner","year":"2012","journal-title":"N Engl J Med"},{"issue":"1","key":"2023090415341579400_qxad035-B4","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.contraception.2017.10.003","article-title":"Contraceptive method use in the United States: trends and characteristics between 2008, 2012 and 2014","volume":"97","author":"Kavanaugh","year":"2018","journal-title":"Contraception"},{"issue":"2","key":"2023090415341579400_qxad035-B5","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.ajog.2016.08.033","article-title":"Long-acting reversible contraceptive acceptability and unintended pregnancy among women presenting for short-acting methods: a randomized patient preference trial","volume":"216","author":"Hubacher","year":"2017","journal-title":"Am J Obstet Gynecol"},{"issue":"S5","key":"2023090415341579400_qxad035-B6","doi-asserted-by":"crossref","first-page":"S478","DOI":"10.2105\/AJPH.2022.306905","article-title":"Massachusetts initiative to improve contraception services: a tale of two programs","volume":"112","author":"White","year":"2022","journal-title":"Am J Public Health"},{"issue":"4","key":"2023090415341579400_qxad035-B7","first-page":"149","article-title":"Health care barriers to provision of long-acting reversible contraception in Wisconsin","volume":"117","author":"Olson","year":"2018","journal-title":"WMJ"},{"issue":"8","key":"2023090415341579400_qxad035-B8","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.7326\/M23-1034","article-title":"Credentialing internal medicine physicians to expand long-acting reversible contraceptive access","volume":"176","author":"Michener","year":"2023","journal-title":"Ann Intern Med"},{"issue":"4","key":"2023090415341579400_qxad035-B9","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1097\/JXX.0000000000000019","article-title":"Barriers to implementation of long-acting reversible contraception: a systematic review","volume":"30","author":"Phillips","year":"2018","journal-title":"J Am Assoc Nurse Pract"},{"key":"2023090415341579400_qxad035-B10"},{"key":"2023090415341579400_qxad035-B11","author":"Kaiser Family Foundation"},{"issue":"1","key":"2023090415341579400_qxad035-B12","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1001\/jama.2019.6854","article-title":"Association between South Carolina Medicaid\u2019s change in payment for immediate postpartum long-acting reversible contraception and birth intervals","volume":"322","author":"Steenland","year":"2019","journal-title":"JAMA"},{"issue":"8","key":"2023090415341579400_qxad035-B13","doi-asserted-by":"crossref","first-page":"1657","DOI":"10.1007\/s10995-022-03433-2","article-title":"Association of the Delaware contraceptive access now initiative with postpartum LARC use","volume":"26","author":"Caudillo","year":"2022","journal-title":"Matern Child Health J"},{"key":"2023090415341579400_qxad035-B14","first-page":"23780231231180378","article-title":"Reproductive oppression enters the twenty-first century: pressure to use long-acting reversible contraception (LARC) in the context of \u201cLARC first\u201d","volume":"9","author":"Eeckhaut","year":"2023","journal-title":"Socius, Volume 9"},{"key":"2023090415341579400_qxad035-B15","author":"Dehlendorf"},{"key":"2023090415341579400_qxad035-B16","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.contraception.2022.04.004","article-title":"Balancing enhanced contraceptive access with risk of reproductive injustice: a United States comparative case study","volume":"113","author":"Moniz","year":"2022","journal-title":"Contraception"},{"issue":"5","key":"2023090415341579400_qxad035-B17","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1007\/s11606-023-08063-0","article-title":"Primary care sub-capitation in Medicaid: improving care delivery in the safety net","volume":"38","author":"Nelson","year":"2023","journal-title":"J Gen Intern Med"},{"issue":"10","key":"2023090415341579400_qxad035-B18","doi-asserted-by":"crossref","first-page":"2407","DOI":"10.1007\/s11606-023-08170-y","article-title":"Position paper: SGIM sex- and gender-based women\u2019s health core competencies","volume":"38","author":"Henrich","year":"2023","journal-title":"J Gen Intern Med"},{"issue":"5","key":"2023090415341579400_qxad035-B19","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1016\/j.contraception.2021.01.008","article-title":"Development of the Person-Centered Contraceptive Counseling scale (PCCC), a short form of the Interpersonal Quality of Family Planning care scale","volume":"103","author":"Dehlendorf","year":"2021","journal-title":"Contraception"}],"container-title":["Health Affairs Scholar"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/healthaffairsscholar\/advance-article-pdf\/doi\/10.1093\/haschl\/qxad035\/51246964\/qxad035.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/healthaffairsscholar\/article-pdf\/1\/3\/qxad035\/51344449\/qxad035.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/healthaffairsscholar\/article-pdf\/1\/3\/qxad035\/51344449\/qxad035.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T15:35:13Z","timestamp":1693841713000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/healthaffairsscholar\/article\/doi\/10.1093\/haschl\/qxad035\/7250154"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,24]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,9,4]]}},"URL":"https:\/\/doi.org\/10.1093\/haschl\/qxad035","relation":{},"ISSN":["2976-5390"],"issn-type":[{"value":"2976-5390","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,9]]},"published":{"date-parts":[[2023,8,24]]},"article-number":"qxad035"}}