TY - JOUR
T1 - Does Maternity Care Coordination Influence Perinatal Health Care Utilization? Evidence from North Carolina
AU - Hillemeier, Marianne M.
AU - Domino, Marisa E.
AU - Wells, Rebecca
AU - Goyal, Ravi K.
AU - Kum, Hye Chung
AU - Cilenti, Dorothy
AU - Basu, Anirban
N1 - Funding Information:
data shared by the NC Division of Public Health. Funding to support this research was provided by the Robert Wood Johnson Foundation Public Health Practice-Based Research Network, and Maternal and Child Health Bureau, grant R40 MC21519. Disclosures: None. Disclaimer: None.
Publisher Copyright:
© Health Research and Educational Trust
PY - 2018/8
Y1 - 2018/8
N2 - Objective: To examine effects of maternity care coordination (MCC) on perinatal health care utilization among low-income women. Data Sources: North Carolina Center for Health Statistics Baby Love files that include birth certificates, maternity care coordination records, WIC records, and Medicaid claims. Study Design: Causal effects of MCC participation on health care outcomes were estimated in a sample of 7,124 singleton Medicaid-covered births using multiple linear regressions with inverse probability of treatment weighting (IPTW). Principal Findings: Maternity care coordination recipients were more likely to receive first-trimester prenatal care (p <.01) and averaged three more prenatal visits and two additional primary care visits during pregnancy; they were also more likely to participate in WIC and to receive postpartum family planning services (p <.01). Medicaid expenditures were greater among mothers receiving MCC. Conclusions: Maternity care coordination facilitates access to health care and supportive services among Medicaid-covered women. Increased maternal service utilization may increase expenditures in the short run; however, improved newborn health may reduce the need for costly neonatal care, and by implication the need for early intervention and other supports for at-risk children.
AB - Objective: To examine effects of maternity care coordination (MCC) on perinatal health care utilization among low-income women. Data Sources: North Carolina Center for Health Statistics Baby Love files that include birth certificates, maternity care coordination records, WIC records, and Medicaid claims. Study Design: Causal effects of MCC participation on health care outcomes were estimated in a sample of 7,124 singleton Medicaid-covered births using multiple linear regressions with inverse probability of treatment weighting (IPTW). Principal Findings: Maternity care coordination recipients were more likely to receive first-trimester prenatal care (p <.01) and averaged three more prenatal visits and two additional primary care visits during pregnancy; they were also more likely to participate in WIC and to receive postpartum family planning services (p <.01). Medicaid expenditures were greater among mothers receiving MCC. Conclusions: Maternity care coordination facilitates access to health care and supportive services among Medicaid-covered women. Increased maternal service utilization may increase expenditures in the short run; however, improved newborn health may reduce the need for costly neonatal care, and by implication the need for early intervention and other supports for at-risk children.
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U2 - 10.1111/1475-6773.12742
DO - 10.1111/1475-6773.12742
M3 - Article
C2 - 28726272
AN - SCOPUS:85050102866
SN - 0017-9124
VL - 53
SP - 2368
EP - 2383
JO - Health Services Research
JF - Health Services Research
IS - 4
ER -