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.
Supporting Indigenous Families for Improved Health Outcomes
Indigenous mothers and birthing people, fathers, partners, caregivers, and families, can speak for themselves. So, make sure seats are available – and filled – on your projects, your teams, your boards. Many projects within the MCH field have steering committees, and all should have family representation. As I hope you’ve intuited, it’s not enough to carry a message. When I think about justice, equity, diversity, and inclusion with regard to our committees, our faculty experts, or even in our improvement advisors, I have begun to ask the question: Are there people from American Indian and Alaska Native communities here?
Racially Motivated Violence is a Children’s Health Issue
In the wake of recent mass shootings in Buffalo, Uvalde, and Highland Park, and too many others, we discuss the mental health implications of racially motivated and gun violence on children and their families with Stacy Scott, PhD, MPA, Executive Project Director and Equity Lead at NICHQ, and Becky Russell, MSPH, Senior Director of Applied Research and Evaluation at NICHQ.
3 Strategies to Leverage Community-Based Research in Maternal and Child Health
During Spring 2021 DARE conducted a series of community listening sessions for the National Action Partnership to Promote Safe Sleep Improvement and Innovation Network (NAPPSS-IIN). Listening session participants were asked about the resources and tools that help them promote safe sleep and breastfeeding/chestfeeding, and additional support needed to meet community safe sleep and breastfeeding/chestfeeding needs. While the analytic results are forthcoming, DARE is excited to share key lessons learned during NAPPSS-IIN community listening sessions.
Navigating Well-Child Visits and Vaccinations during COVID-19
Well-child visits and recommended vaccinations are essential, ensuring children stay healthy and are protected from preventable diseases and illnesses such as measles, whooping cough, and seasonal flu. But, as the COVID-19 pandemic persists, data shows that fewer childhood vaccinations have been given and many children have fallen behind on their scheduled appointments. Healthcare professionals should utilize the following strategies to work with parents and caregivers to get their children caught up on missed appointments and recommended vaccinations.
Exploring a Nonbinary Approach to Health
NICHQ is not abandoning the traditional use of the terms “mother” and “maternal.” We are embracing the inclusive language of “birthing person/people” across our work. A move toward inclusive language does not force us to stop using language that so many people identify with; at its core, inclusion is about creating more space for one another. We are taking care to expand the use of these terms in our communications, on our website, in our resources, and eventually, in all our projects.