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.
Using Simulation Modeling Technology to Make a Case for Change
Imagine you had multiple best practices for reducing cesarean sections (c-section) rates in your state but wanted to know which would have the most impact and all you had to do was push a few buttons to find out. That is exactly what a simulation model is doing in the state of New Jersey.
Data Drives Vermont’s Focus on Infant Mortality Reduction
With an infant mortality rate of 4.4 per 1,000 births, Vermont has one of the lowest infant mortality rates in the country, but, the Vermont Department of Health (VDH) knows there is always room for improvement. As a part of the NICHQ-led Collaborative Improvement and Innovation Network to Reduce Infant Mortality (Infant Mortality CoIIN), NICHQ helped VDH use data to drive discussions and make decisions about where to prioritize its work: smoking cessation and safe sleep awareness.
New Framework to Curb Births of Babies Born Dependent to Drugs
There is little consensus about the best way to diagnose and treat opioid addiction in women and infants. As part of the NICHQ-led Collaborative Improvement and Innovation Network to Reduce Infant Mortality (Infant Mortality CoIIN), ASTHO is releasing a Neonatal Abstinence Syndrome Framework to support stakeholder discussions at the state level to better understand how collective efforts can prevent in-utero opioid exposure and impact the incidence of NAS.
Stumping Out Prenatal Smoking in West Virginia
Tobacco use during pregnancy increases the rate of stillbirth, preterm birth, birth defects, low birth weight and infant mortality. Despite this information, some states have consistently high rates of women who smoke while pregnant. Read how West Virginia succeeded in addressing this challenge as part of the NICHQ-led Infant Mortality CoIIN.
Virginia Aims for a Zero
When a 2014 report showed one child almost every three days in Virginia died related to a preventable unsafe sleep environment, leaders at the Virginia Department of Health knew it was time to take action.
Collaborative Approach Helps Minnesota Accelerate Improvement
Minnesota’s Department of Health began working towards increasing the number of full term births in 2015 by focusing efforts to increase awareness and the use of 17-alpha hydroxyprogesterone caproate (17P) in women who have had previous spontaneous singleton preterm births.