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.
Recognizing Implicit Bias Can Reduce Inequities in Children’s Health
Here, Joseph R. Betancourt, MD, MPH—a nationally and internationally recognized expert in healthcare disparities, cross-cultural health and cross-cultural communication—shares recommendations to help health professionals and improvement teams better identify bias and prevent it from affecting their behaviors and decisions.
Lead Poisoning Continues to Put Too Many Children at Risk
In more than 4 million homes across America, children are living and playing while being exposed to the damaging effects of lead. This Alabama family's experience illustrates why improving provider education is an important driver for states seeking to improve systems of care; it leads to earlier testing, early and effective interventions, and the coordinated care families need so that more children have the opportunity to grow up in healthy, safe environments.
A Grandfather’s Passion to Transform Early Childhood Systems
David Armstrong's grandson was born into a neighborhood where drug use was common, and poverty and gang violence were pervasive. He was born into a home where his parents struggled with substance abuse and where their fighting sometimes ended in domestic violence. He is one of too many children born into circumstances that illustrate why families need better supports and better systems. Here, Armstrong shares their story.
An African-American Fraternity Alliance is Changing Infant Health Outcomes
In Arkansas, nearly 300 babies die before their first birthday each year. That’s almost a baby every day. Determined to change these numbers and reach communities most affected, the Arkansas Department of Health turned to a nontraditional partner for maternal and infant health: Brothers United, an alliance of African American fraternities.
The Opioid Epidemic and Maternal Health: Three Opportunities for Change
Opioid use disorder in pregnancy has increased dramatically across the country in the last decade, bringing with it increased health risks for mothers and babies. Health professionals can help change these statistics by making the most of every interaction they have with new mothers, from prenatal care to building postpartum supports. Click in for advice from experts in the field.
Better Sleep for Breastfeeding Mothers, Safer Sleep for Babies
How do you realistically support tired and overwhelmed mothers to breastfeed safely? This all too common question haunts maternal health professionals who seek to encourage both breastfeeding and safe sleep habits. Here, Michael Goodstein, MD, a neonatologist and safe sleep and breastfeeding expert, offers three opportunities for improvement.