Timely Postpartum Visits for Low-Income Women: A Health System and Medicaid Payer Partnership

Elizabeth A Howell; Amy Balbierz; Susan Beane; Rashi Kumar; Tom Wang; Kezhen Fei; Zainab Ahmed; José A Pagán

doi:10.2105/AJPH.2020.305689

Timely Postpartum Visits for Low-Income Women: A Health System and Medicaid Payer Partnership

Am J Public Health. 2020 Jul;110(S2):S215-S218. doi: 10.2105/AJPH.2020.305689.

Authors

Elizabeth A Howell¹, Amy Balbierz¹, Susan Beane¹, Rashi Kumar¹, Tom Wang¹, Kezhen Fei¹, Zainab Ahmed¹, José A Pagán¹

Affiliation

¹ Elizabeth A. Howell, Amy Balbierz, and Kezhen Fei are with the Department of Population Health Science and Policy and Zainab Ahmed is with the Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY. Susan Beane, Rashi Kumar, and Tom Wang are with Healthfirst, New York, NY. José A. Pagán is with the Department of Public Health Policy and Management, College of Global Public Health, New York University, New York, NY.

Abstract

A health care system and a Medicaid payer partnered to develop an educational intervention and payment redesign program to improve timely postpartum visits for low-income, high-risk mothers in New York City between April 2015 and October 2016. The timely postpartum visit rate was higher for 363 mothers continuously enrolled in the program than for a control group matched by propensity score (67% [243/363] and 56% [407/726], respectively; P < .001). An innovative partnership between a health care system and Medicaid payer improved access to health care services and community resources for high-risk mothers.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adult
Cost Sharing / methods*
Female
Humans
Managed Care Programs
Medicaid / economics*
Motivation
New York City
Patient Education as Topic / methods
Postnatal Care / economics
Postnatal Care / statistics & numerical data*
Poverty
Pregnancy
Pregnancy, High-Risk
Tertiary Care Centers
United States