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The Effects of Medicaid Policy Interventions on Severe Maternal Morbidity
Sponsor: University of Pittsburgh
Summary
The goal of this study is to learn about the effects of Medicaid policy interventions on severe maternal morbidity (SMM) and mortality and maternal health. The main questions it aims to answer are: 1. What is the effect of Medicaid healthcare quality interventions on SMM? 2. What is the effect of Medicaid healthcare quality interventions + doula care? 3. What are Medicaid beneficiaries' experiences in receiving services and the potential impact of integration of doula services? Participants will be asked to describe experiences as a result of Medicaid policy interventions and focused Medicaid policies.
Key Details
Gender
All
Age Range
Any - Any
Study Type
INTERVENTIONAL
Enrollment
10000000
Start Date
2023-01-03
Completion Date
2027-06
Last Updated
2026-09-10
Healthy Volunteers
Yes
Conditions
Interventions
Medicaid healthcare quality interventions (incentive payment and obstetric bundled payment)
This study has two components, with the first component being examined in Aim 1 and the first and second components being examined in aim 2. 1\) incentive payment program makes available $26 million annually in Medicaid managed care organization (MCO) payments to plans that improve access to timely prenatal care. The obstetric care bundled payment model provides incentives for clinicians to improve on a wide range of pregnancy health outcomes, and specifically incentivizes improvements among beneficiaries at risk for poor outcomes.
Doula
This study has two components, with the first component being examined in Aim 1 and the first and second components being examined in aim 2. 1. Incentive payment program makes available $26 million annually in Medicaid managed care organization (MCO) payments to plans that improve access to timely prenatal care. The obstetric care bundled payment model provides incentives for clinicians to improve on a wide range of pregnancy health outcomes, and specifically incentivizes improvements among beneficiaries at risk for poor outcomes. 2. care intervention by coverage of doula services for all Medicaid beneficiaries across Pennsylvania.
Standard Care
Participants receive standard care without quality interventions or doula care
Locations (1)
University of Pittsburgh School of Public Health
Pittsburgh, Pennsylvania, United States