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

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

SOURCE: Authors’ analysis

^aCosts only apply to Year 0, the year of conception and birth. We assumed that other costs are incurred annually through Year 5

MMHCs Maternal mental health conditions, SIDS Sudden infant death syndrome