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.
TRANSCRIPT | Connecting Infant and Maternal Health Outcomes – Prematurity Awareness Month
Our main story this episode highlights he links between maternal and infant health, and the impacts of preterm birth on health outcomes for mothers, birthing people, and babies. Hear from NICHQ VP of Equity and Innovation Dr. Stacy Scott, Ph.D. D, MPA, who shares some equity considerations regarding disparate rates of preterm birth, infant mortality, and maternal mortality. Dr. Zsakeba Henderson, MD, FACOG, NICHQ’s senior health advisor, also connects the impact of maternal health on infant health outcomes while shining a light on the U.S. maternal mortality crisis and current policy initiatives that can help reverse maternal mortality trends.
4 Strategies for Transitioning from Pediatric to Adult Care for People Living with Sickle Cell Disease
Whether transitioning to college or a full-time job, it's a time when young adults are going to be establishing their independence from their nuclear family and taking responsibility for their own needs. For a young person with special healthcare needs such as SCD, the responsibilities are compounded by the additional need to begin transitioning from pediatric to adult care. Read more for four helpful strategies for transitioning from pediatric to adult care for people living with sickle cell disease and other special health conditions.
TRANSCRIPT | Sickle Cell Awareness Month: Transitioning to College, Equity Considerations, and Resource Sharing
Our main story this episode highlights the need for resources for people living with sickle cell disease and strategies for transitioning from pediatric to adult care. We also reflect on National Infant Mortality Awareness Month and hear from NICHQ team member about connecting their personal and professional passion for equity. Thanks for joining us!
For our main story in this episode we are joined by Summer 2023 NICHQ Communications & Digital Strategy interns Amalia Hirschhorn-Martinez and Katie McCormick. They speak with members of the NICHQ team about our upcoming webinar focused on infant safe sleep and breastfeeding messaging and NICHQ’s continued work to ensure health professionals and the communities they serve are supported with the necessary tools and resources to create safe sleeping environments and improve breastfeeding and chestfeeding rates.
Inviting and Engaging Family Partners in Your Work
Patient and family partnerships are an essential element of health equity. By supporting patient and family voices and encouraging space for collaboration, public health professionals can help ensure shared vision and values are at the forefront of determining solutions to improve a community’s health outcomes.
Importance of Engaging Fathers in MCH Initiatives
Evidence demonstrates that fathers play a critical role in children’s health and development, beginning in the prenatal period and continuing through early childhood and adolescence. On this episode of Before Birth & Beyond, NICHQ honors Men's Health Month and Father's Day, both celebrated in June, by sitting down with two Black fatherhood experts to discuss the importance of including fathers in maternal and child health work, policy considerations to improve father engagement, and men's mental health and its impact on outcomes for children and families.