Case Studies Show Improved Birth Outcomes and Cost Savings
C-sections financed by Medicaid, on average, cost nearly $5,000 more than vaginal births. With state Medicaid agencies financing nearly half of all births each year, improving birth outcomes is a priority.
A 50-state environmental scan of strategies to improve women’s access to high quality preventive and perinatal care—released earlier this year in coordination with the National Academy for State Health Policy (NASHP)—mapped state Medicaid efforts to improve birth outcomes. The scan revealed numerous innovative initiatives, many providing healthcare cost savings, which are the focus of three new case studies.
- Oklahoma Case Study: The Oklahoma Health Care Authority focused its efforts on reducing elective C-sections without medical indication. As of 2016, Oklahoma had reduced the rate of primary C-sections without medical indication to 15.6 percent, resulting in substantial cost savings to the state. Read how
- Wisconsin Case Study: The Wisconsin Department of Health Services focused its efforts on reducing birth disparities through effective, comprehensive, coordinated and quality maternity care. The program results indicate an improvement in the rate of postpartum care visits from 61.4% in 2013 to 85.5% in 2015. Read how
- Tennessee Case Study: Tennessee’s Department of Human Services’ Division of TennCare (Medicaid) has implemented a perinatal episode of care that focuses on women with low to medium risk pregnancies. As a result, Tennessee has seen a 3.4 percent decrease in care cost, a total of about $4.7 million, in calendar year 2014-2015. (case study coming soon)
“These case studies demonstrate that states working to improve birth outcomes have an opportunity to forge successful cross-agency collaborations,” says NICHQ Executive Project Director Pat Heinrich, RN, MSN, CLE. “When collaborating partners, like state health departments and Medicaid, have a common aim and shared goals that is when we see the best results.”
Improving birth outcomes is an essential step in every child achieving their optimal health—NICHQ’s vision. Learn more about the multiple initiatives where NICHQ is working with states to encourage innovative system reform to support better outcomes for mothers and babies, while reducing overall healthcare costs.
From 50th in the Nation to a National Success. Delaware Improves Early Childhood Outcomes
Right now, more than 15 percent of children miss out on early developmental screenings and risk their future health. Find out what Delaware is doing to prioritize screenings and make sure Delaware children start school healthy and prepared.
NICHQ’s New Clinical Director of Early Childhood Initiatives Has a Plan for Improvement
As NICHQ’s new Clinical Director of Early Childhood Initiatives, Jill Sells, MD, FAAP, is invested in improving early childhood systems on a national scale. Keep reading to find out more about her goals and learn what gets her up in the morning ready to drive change in early childhood systems.
Improving Children’s Vision in Your State: Three Teams Share Lessons Learned
Early childhood eye care can drastically change a child’s health and well-being. For the past two years, improvement teams in Arizona, Ohio and Wyoming have been working to increase screenings and identify measures that can be spread to other states and communities. Here are some of their key lessons-learned.
What 2018 Means for Children’s Health
We recently sat down with NICHQ President and CEO Scott D. Berns, MD, MPH, FAAP, who shared his thoughts on building on 2017’s successes, the biggest opportunities in 2018 and how NICHQ can drive change in children’s health outcomes. Check out a short video and then read on to uncover what Berns is prioritizing in 2018.
Opportunities to Improve Health Equity for Mothers, Babies and Children
To understand health holistically, we need to consider it outside the silo of a healthcare system. We need to take into account the many other factors that impact our individual health, factors like the schools we attend and the relationships we experience. Read on to uncover three tried and tested ways to make changes in your state and help ensure that all children, regardless of circumstance, achieve equity in health outcomes.
Creating a Structure for Improvement in Complex Systems
Positively intervening in early childhood development means creating a system that supports the people at all levels, from those working in healthcare and social services settings, to daycare and community support networks, to those in the child’s home. These three essential strategies can help develop such a system, close the gap between research and practice, and take positive steps toward change.