Approaching 4 million deliveries per year, birth is one of the most common reasons for hospital use in the US and is a top expenditure for payers. Between 2004 - 2010, commercial payments for maternity care increased by over 50%, with out-of-pocket expenses borne by families increasing four-fold. Despite rapidly rising payments associated with childbirth national perinatal outcomes has not improved significantly over the last 15 years.
- Women are screened at their first prenatal visit for unmet medical andpsychosocial needs. Women without significant unmet needs are scheduled forapproximately 30% fewer prenatal visits than has traditionally occurred. Women withunmet needs are scheduled to participate in OB led 90-to120-minute prenatal groupvisits focused on educationin pregnancy related health risk reduction at the samefrequency as one-on-one prenatal visits have traditionally occurred.
- Hospital-affiliated and immediately adjacent outpatient birth centers with regularlyrehearsed rapid hospital transfer protocols are routinely offered to low risk womendesiring less medicalized births by nurse midwives in conjunction with a neonatalspecialist.
- Contraception education is provided throughout the prenatal period along with theplacement of long-acting reversible contraception (LARC) prior to discharge from thebirthing facility for women desiring contraception.
Projects and Outcomes
Net Percent reduction in total annual American health care spending: 0.64%
Net annual savings $23 billion / Total annual American health care spending in 2018 $3.6 trillion