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RECRUITING Not applicable ClinicalTrials.gov

The Effects of Medicaid Policy Interventions on Severe Maternal Morbidity

Sponsor: University of Pittsburgh • ClinicalTrials.gov ID: NCT05678699

Registry updated: 2026-09-10
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Description

The goal of this study is to learn about the effects of Medicaid policy interventions 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? Participants will be asked to describe experiences as a result of Medicaid policy interventions and focused Medicaid policies.

Interventions

  • Medicaid healthcare quality interventions (incentive payment and obstetric bundled payment) (Behavioral)
    This study has two components, with the first component being examined in Aim 1 and the first and second components being examined in aim 2. 1\) incentive payment program makes available $26 million annually in Medicaid managed care organization (MCO) payments to plans that improve access to timely prenatal care. The obstetric care bundled payment model provides incentives for clinicians to improve on a wide range of pregnancy health outcomes, and specifically incentivizes improvements among beneficiaries at risk for poor outcomes.
  • Doula (Behavioral)
    This study has two components, with the first component being examined in Aim 1 and the first and second components being examined in aim 2. 1. Incentive payment program makes available $26 million annually in Medicaid managed care organization (MCO) payments to plans that improve access to timely prenatal care. The obstetric care bundled payment model provides incentives for clinicians to improve on a wide range of pregnancy health outcomes, and specifically incentivizes improvements among beneficiaries at risk for poor outcomes. 2. care intervention by coverage of doula services for all Medicaid beneficiaries across Pennsylvania.
  • Standard Care (Behavioral)
    Participants receive standard care without quality interventions or doula care

Eligibility criteria

Inclusion Criteria: * Pregnant and postpartum Medicaid beneficiaries across the US Qualitative: * Medicaid beneficiaries who identify as being at risk for poor outcomes 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: \-

Conditions

Severe Maternal Morbidity Maternal Death

Locations

  • University of Pittsburgh School of Public Health — Pittsburgh, Pennsylvania, United States
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record