NCT05678699NARecruitingAccepts Healthy Volunteers

The Effects of Medicaid Policy Interventions on Racial Equity in Severe Maternal Morbidity

University of Pittsburgh

Start Date

1/3/2023

Completion Date

6/1/2027

Summary

The goal of this study is to learn about the effects of structural inventions, such as equity-focused Medicaid polices, on severe maternal morbidity (SMM) and mortality and maternal health. The main questions it aims to answer are: 1. What is the effect of Medicaid healthcare quality interventions on SMM? 2. What is the effect of Medicaid healthcare quality interventions + doula care? 3. What are Medicaid beneficiaries' experiences in receiving services and the potential impact of integration of doula services and equity practices? Participants will be asked to describe experiences as a result of structural interventions and focused Medicaid policies.

Eligibility Criteria

Age Range: No minimum to No maximum

Inclusion Criteria: * Pregnant and postpartum Medicaid beneficiaries across the US Qualitative: * Medicaid beneficiaries who self-identify as Black and/or live in PA Health Equity Zones * Doulas who provide care to Medicaid beneficiaries in Pennsylvania * Medicaid Managed Care Organization (MCO) administrators in Pennsylvania. Severe maternal morbidity and mortality outcomes will be assessed in healthcare records and for these quantitative outcomes, patients will not be recruited individually Exclusion Criteria: \-

Interventions

BEHAVIORAL

Medicaid healthcare quality interventions (equity payment and obstetric bundled payment)

BEHAVIORAL

Doula

BEHAVIORAL

Standard Care

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Conditions

Severe Maternal MorbidityMaternal Death

Locations

University of Pittsburgh School of Public Health

Pittsburgh, Pennsylvania 15261

United States