Delaware and Georgia Use Innovative Strategies to Promote Women’s Health in Medicaid

Posted April 11, 2017 by Liz McCaman

Liz McCaman
Liz McCaman

NASHP and NICHQ release case studies on Delaware and Georgia’s uses of Medicaid policy to help reduce costly unplanned births. The experiences of these two states highlight the diversity of innovative approaches to increasing access to preventive services. These case studies supplement the previously released issue brief “Strategies to Increase Access to Long-Acting Reversible Contraception (LARC) in Medicaid.”

Unplanned pregnancies present a challenge for many women, their families and communities, and are associated with a number of costly health outcomes, including delayed prenatal care, premature birth and low birth weight. Federal initiatives like the Collaborative Improvement & Innovation Network to Reduce Infant Mortality (IM CoIIN) have helped to engage state leaders in efforts to reduce infant mortality rates, eliminate disparities in birth outcomes and improve systems to lead to healthier births.

Both Delaware and Georgia are members of the IM CoIIN, actively working to improve birth outcomes statewide. These states have recently implemented innovative Medicaid payment strategies to help reduce costly unplanned births and promote women’s health by increasing access to long-acting reversible contraception (LARC). Both have updated their payment models to allow for LARC insertion in the inpatient setting after childbirth.

Delaware has partnered with Upstream USA, a non-profit organization that provides on-site training and technical assistance for same-day LARC insertion to health centers nationwide, to increase provider capacity for the procedure. The state has also developed an intra-agency workgroup to guide its initiative, bringing together representatives from Delaware’s Medicaid agency, public health agency, community stakeholders and political leadership. 

Click here to read NASHP and NICHQ’s previous issue brief on LARC access, as well as the case studies on Delaware and Georgia. 

In Georgia, federally qualified health centers (FQHCs) can obtain discounted prices on LARC through the federal 340B Drug Pricing Program—a federal program that enables hospitals and other clinics that receive federal safety-net funding to purchase outpatient drugs at a ceiling price calculated by the Health Resources and Services Administration. Under the authority of a State Plan Amendment, Georgia FQHCs can purchase LARC from the manufacturer at the discounted price from the 340 program. FQHCs then receive Medicaid reimbursement once LARC is dispensed to an eligible patient.

Because of the modified Medicaid policies, private payers in both states have begun to follow suit; commercial insurers are providing increased incentives for healthcare professionals to offer LARC to their patients. As more healthcare professionals consider offering LARC, states are seeing an increased demand for high-quality education on LARC placement, reimbursement, monitoring and removal.

Through their participation in IM CoIIN, Delaware and Georgia leveraged partnerships and created strategies to address unplanned pregnancies, a large driver of infant and maternal mortality. Additional states and stakeholders in infant health can consider these specific programs as models for increasing LARC access, and can also emulate Delaware and Georgia’s high levels of collaboration and engagement for affecting systemic changes. 

Share:

Add your comment

 
 

 

Archive

Tagcloud

baby box safe sleep nichq infant mortality family engagement quality improvement eccs coiin immunizations health equity health disparities accreditation im coiin astho qi onboarding collaboration engagement partnerships larc nashp breastfeeding new york wic new york state hospitals mom mother partners epilepsy data AAP early childhood pdsas texas community support learning session children's health new technology engineering transgender collaborative learning planning PDSA planning paralysis underplanning analysis paralysis vision eye health smoking smoke-free housing second-hand smoke toolkit e-module infant health dental care oral health underserved populations health inequity public health Maternal and Child Health Journal tips leadership engagement Sickle cell disease indiana SCD medicaid perinatal regionalization sudden infant death syndrome national birth defects prevention month birth defects pregnancy planning one key question prepregnancy health preconception health public breastfeeding support families patients experts insights CHOPT childhood obesity innovation food desert telemedicine TBLC breastfeeding supporting preterm birth prematurity racial disparities audiology ehdi follow-up illinois talana hughes vulnerable populations sports asthma soccer basketball obesity football SIDS Pokemon Go gamification smartphones interconception care birth spacing issue brief contraceptive use postpartum care CoIN HRSA early childhood trauma NHSA community health consumer advocacy womens health interconception health teenage health PATCH wisconsin missouri risk appropriate care community health workers SCD< infographic infant mortality awareness month inspirations childrens health national breastfeeding month maternal health patient engagement hearing loss hearing treatment pediatric vision vision screening eyesight pre-term birth early-term birth SCD clinic los angeles LOCATe CDC levels of care neonatal care maternal care smoking cessation project safe sleep practices neonatal abstinence syndrome NAS opioids maternal and child health MCH Family voices quality care mental health hydroxyurea SCDTDP men dads testing change data sharing state government city government apps sleep AJPM preconception care senior leadership breastfeeding support video series access BQIH exclusive breastfeeding long-acting reversible contraception unplanned pregnancies social determinants of health health innovations Best Babies Zone CoIIN baby boxes Rhode Island progesterone rooming-in Baby-Friendly parent partner patient and family engagement healthy weight healthy lifestyles primary care telementoring ECHO video conferencing socioemotional health childhood development pediatric Tennessee interview National Coordinating and Evaluation Center medical-legal partnerships mobile app disparities perinatal care overweight obese healthy weight clinic wellness pilot sites data collection education resources paternal engagement risk-appropriate care preterm infants high-risk babies Ten Steps public relations social movement reversible contraceptives medical home pediatric medical home patient transformation facilitator PTF skin-to-skin rooming in prenatal smoking information visualization charts SUID postpartum new mother webinar AMCHP QI Tips ongoing improvement fourth trimester partnership quality and safety coaching PDSA Cycle leadership support year end holiday message reflections gratitute Medicaid data doctor relationship PQC perinatal quality collaboratives vision care vision health evidence-based guidelines ASH health and wellness healthy living healthy eating home visitors home visiting programs March of Dimes APHA results evaluation supplementation formula reduction video infant loss social media advocacy leadership Berns Best Fed Beginnings Ten Steps to Successful Breastfeeding sustainability stress prenatal care data capacity epidemiologists surveillance data PFAC community partners preconception and interconception care motivational interviewing Native Americans ADHD NICHQ Vanderbilt Assessment Scale ADHD Toolkit system design care coordination skin to skin newborn screening reduce smoking aim statement safe birth Texas Ten Step skin-to-skin contact 10 Steps staff training small tests acute care mother-baby couplet collective impact population health preconception Newborn Screening Program substance abuse breast milk formula milk bank crisis Huffington Post fundraising campaign first responders NYC improvement healthcare health system sickle cell diease treatment protocol family health partner maternity care Collaborative Improvement and Innovation Network Health Outcomes Cross-Sector Collaboration Knowledge Sharing Child Health