CHCS - Center for Health Care Strategies

Improving the quality and cost-effectiveness of publicly financed health care

High-Risk Pregnancy and Birth Outcomes

Women living in low-income households experience poorer birth outcomes than other mothers. CHCS works with states and health plans to identify best practices for improving prenatal care, particularly for women experiencing high-risk pregnancies.

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Exploring Access and Quality in Medicaid Pediatric and Obstetric Care: A Three-State Analysis

CHCS staff discussed the findings of a study of Medicaid-contracted pediatric and obstetric practices in fee-for-service or primary care case management delivery systems in Arkansas, Iowa, and Pennsylvania, and the efforts of high-volume practices to improve access and quality.

January 2014 Webinar Resources

Collaborating to Improve Birth Outcomes in New Jersey

In 2006, the five health plans in New Jersey began collaborating with the state Medicaid program and other stakeholders to standardize methods for identifying high-risk pregnancies in three urban areas. One year later, key accomplishments include a prenatal risk assessment form, a central data repository, an expedited enrollment process for pregnant women, and plans to take the program statewide.

October 2007 Case Studies

Care Management Strategies for High-Risk Pregnancy and High-Risk Asthma

Download resources from this CHCS webinar, which outlined innovative approaches to identify and stratify the risks for children with severe asthma and women with high-risk pregnancies.
March 2007 Webinar Resources

Sentara Health Management Community Partner Program

As part of a BCAP workgroup, Toward Improving Birth Outcomes, Sentara Health Management established the Partners in Pregnancy program to reduce the incidence of low birth weight and preterm birth among its members.
June 2005 Case Studies

Strategies for Improving Birth Outcomes in Medicaid Managed Care

Download resources from this CHCS webinar which featured two ways that Medicaid serving health plans have successfully improved birth outcomes.
June 2005 Webinar Resources

Reducing Neonatal Intensive Care Unit Admissions Through Prenatal Outreach

Monroe's multi-year effort to improve the identification of pregnant women and target prenatal outreach has resulted in a significant decrease in NICU rates. The plan's Best Clinical and Administrative Practices quality improvement project is documented in the March 2005 issue of the American Journal of Managed Care.
March 2005 Case Studies

Sentara Health Management: A Partner in Pregnancy

Sentara Health Management, after having participated in a BCAP initiative, created a system to identify new mothers with critical health care needs and provide intensive case management. Their quality improvement project was to reduce Neonatal Intensive Care Unit days and costs, and Sentara is seeing terrific results.

August 2003 Case Studies

Toward Improving Birth Outcomes: A BCAP Toolkit

This Toolkit offers a step-by-step practical approach for addressing quality improvement and a collection of "lessons learned" by a diverse group of health plans serving Medicaid members.
October 2001 Toolkits
 

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