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Table 2 Model results for costs of untreated MMHCs (in millions of dollars) for the 2019 birth cohort: Mothers enrolled in Texas Medicaid for Pregnant Women

From: The economic impact of untreated maternal mental health conditions in Texas

Outcomes

Total

Year 0

Year 1

Year 2

Year 3

Year 4

Year 5

Maternal costs

 Productivity losses

0.0

0.0

0.0

0.0

0.0

0.0

0.0

 Suicide

0.0

0.0

0.0

0.0

0.0

0.0

0.0

 Preeclampsiaa

23.4

23.4

0.0

0.0

0.0

0.0

0.0

 Cesarean deliverya

14.8

14.8

0.0

0.0

0.0

0.0

0.0

 Peripartum staya

17.0

17.0

0.0

0.0

0.0

0.0

0.0

 Non-obstetric health expenditures

275.5

100.5

35.0

36.6

38.2

40.0

41.8

 Benefit receipt

9.7

1.5

1.6

1.7

1.8

1.9

2.0

Child costs

 Preterm birtha

231.4

231.4

0.0

0.0

0.0

0.0

0.0

 Suboptimal breastfeedinga

3.6

3.6

0.0

0.0

0.0

0.0

0.0

 SIDS

0.0

0.0

0.0

0.0

0.0

0.0

0.0

 Behavioral and developmental disorders

344.8

55.4

57.9

60.5

63.2

66.1

69.1

 Obesity

2.2

0.4

0.4

0.4

0.4

0.4

0.4

 Asthma

20.6

3.3

3.4

3.6

3.8

4.0

4.2

 Injury

16.1

5.9

2.1

2.1

2.2

2.3

2.5

 Emergency department visits

5.3

1.9

0.7

0.7

0.7

0.8

0.8

 Non-attendance of well-child care visits

-2.2

-0.8

-0.3

-0.3

-0.3

-0.3

-0.3

Total societal costs for one birth cohort (millions of $)

962

458

101

105

110

115

121

Cost per mother–child pair with an MMHC in the first year post-delivery ($)

14,864

      

Cost per mother–child pair with an MMHC in the first two years post-delivery ($)

18,133

      

Cost per mother–child pair with an MMHC, averaged over the first two years post-delivery ($)

9,067

      

Cost per mother–child pair with an MMHC in the first five years post-delivery ($)

31,200

      

Cost per mother–child pair with an MMHC, averaged over the six years from conception through the first five years post-delivery ($)

5,200

      
  1. SOURCE: Authors’ analysis
  2. aCosts only apply to Year 0, the year of conception and birth. We assumed that other costs are incurred annually through Year 5
  3. MMHCs Maternal mental health conditions, SIDS Sudden infant death syndrome