Author: James KriegerPublisher:
ISBN:
Category :
Languages : en
Pages : 134
Book Description
The Quality of Prenatal Care Received by Medicaid Beneficiaries Enrolled in Managed Care Health Plans in the State of Washington
Author: James KriegerPrenatal Care
Author: United States. General Accounting OfficePublisher:
ISBN:
Category : Health services accessibility
Languages : en
Pages : 44
Book Description
Birth Settings in America
Author: National Academies of Sciences, Engineering, and MedicinePublisher: National Academies Press
ISBN: 0309669820
Category : Social Science
Languages : en
Pages : 369
Book Description
The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.
Prenatal Care
Author: United States. General Accounting OfficePublisher:
ISBN:
Category : Federal aid to maternal health services
Languages : en
Pages : 180
Book Description
Medicaid Prenatal Care
Author: Jan L. BuffaPublisher:
ISBN:
Category : Maternal and infant welfare
Languages : en
Pages : 258
Book Description
The study evaluates the effectiveness of a pregnancy intervention model (PIM) developed to improve first trimester prenatal care utilization in a population of 2,694 low-income Medicaid women. Engagement in prenatal care is critical before prenatal care can occur. Early initiation of prenatal care is important for low income pregnant women at risk for poor birth outcomes and the Medicaid managed care organizations that enroll them. Once identified and enrolled the health plan utilization medical management staff assessed these women for a myriad of high risk and socially detrimental behaviors in order to facilitate, in a sensitive manner, their access to drug treatment or any needed service. Interventions included a real time identification, reporting, incentive model using medical informatics to supplement existing clinical based assessment of high risk pregnant women and nursing care coordination that included outreach, enrollment assistance, support services, interagency coordination, home visits, transportation and medical home assignment. A difference was found in the utilization of first trimester prenatal care visits for all women who conceived after the intervention compared to those who conceived prior to the intervention date. A difference was also noted in the "no prenatal care" category due a decrease in the number of women who did not receive prenatal care. PIM appears to be a cost effective, simple solution to a real world problem.
Medicaid Data
Author: United States. Medicaid Bureau. Division of Analysis and EvaluationPublisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 36
Book Description
Medicaid
Author: Publisher: DIANE Publishing
ISBN: 9781568065885
Category :
Languages : en
Pages : 124
Book Description
Focuses on: states' use of managed care programs; the difficulty states face in implementing certain program components; the effect of the managed care approach on health care access, quality, & cost; & the presence of features that assure the quality of health services & providers' financial stability. Charts, tables & map.
Making Babies Healthier By Providing a Managed Care Option to California's Poor
Author: Tania BarhamPublisher:
ISBN:
Category :
Languages : en
Pages : 0
Book Description
The first chapter investigates whether mandating a managed care option for California Medicaid beneficiaries improves access to prenatal care and birth outcomes in a traditionally fee-for-service system. We compare two competing models: one that only offers a county-organized health system option (COHS), and the Two Plan Model (TPC) that provides mothers with a choice between the county system and a commercial managed care organization. The results show that while COHS improved access, only the TPC program led to reductions in low-birth weight. The superior health outcomes obtained with TPC might be explained by higher quality care induced by competition among health providers and/or mainstreaming Medi-Cal beneficiaries into commercial organizations that also serve higher income populations.
The New Morbidity
Author: Alfred A. BaumeisterPublisher:
ISBN:
Category : Intellectual disability
Languages : en
Pages : 396
Book Description
Vibrant and Healthy Kids
Author: National Academies of Sciences, Engineering, and MedicinePublisher: National Academies Press
ISBN: 0309493382
Category : Medical
Languages : en
Pages : 621
Book Description
Children are the foundation of the United States, and supporting them is a key component of building a successful future. However, millions of children face health inequities that compromise their development, well-being, and long-term outcomes, despite substantial scientific evidence about how those adversities contribute to poor health. Advancements in neurobiological and socio-behavioral science show that critical biological systems develop in the prenatal through early childhood periods, and neurobiological development is extremely responsive to environmental influences during these stages. Consequently, social, economic, cultural, and environmental factors significantly affect a child's health ecosystem and ability to thrive throughout adulthood. Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity builds upon and updates research from Communities in Action: Pathways to Health Equity (2017) and From Neurons to Neighborhoods: The Science of Early Childhood Development (2000). This report provides a brief overview of stressors that affect childhood development and health, a framework for applying current brain and development science to the real world, a roadmap for implementing tailored interventions, and recommendations about improving systems to better align with our understanding of the significant impact of health equity.