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Strengthen the Evidence for Maternal and Child Health Programs

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Postpartum Gray Literature

Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.


Displaying records 1 through 5 (5 total).

Bakst C, Moore JE, George KE, Shea K. 2020 . Community-based maternal support services: The role of doulas and community health workers in Medicaid. Washington, DC: Institute for Medicaid Innovation , 23 pp.

Annotation: This report explores how community-based maternal support services provided by community-based doulas and maternity community health workers can improve maternal health outcomes. It also highlights the results of a national environmental scan of organizations that are actively working toward eliminating maternal health disparities and building community connections through the community-based maternal support model. Common barriers to implementing this model are identified, and opportunities for Medicaid stakeholders to provide support and increased access to these services are highlighted.

Keywords: Barriers, Childbirth, Community based services, Community health workers, Doulas , Maternal health, Medicaid, Model programs, Public health, Risk factors, Social support, initiatives

Institute for Medicaid Innovation; Every Mother Counts. 2023. Key learnings from the doula and perinatal community health worker in Medicaid learning series. Washington, DC: Institute for Medicaid Innovation, 24 pp.

Annotation: This report synthesizes key learnings from an 8-session virtual learning series held between December 2022 and July 2023 focused on implementing Medicaid coverage for doula and perinatal community health worker services. It presents findings in four main areas: partnerships between payers and providers, administrative supports, training and certification requirements, and workforce development. The document outlines specific recommendations for state Medicaid agencies and managed care organizations to create sustainable benefits that center community-based perinatal support providers' needs and advance birth equity. The report includes detailed speaker quotes, examples from multiple states' implementation efforts, and links to full session materials and recordings from the learning series.

Keywords: Community health workers, Doulas, Medicaid, Perinatal services, Professional education, State agencies

Institute for Medicaid Innovation. 2023. Innovation in perinatal and child health in Medicaid . Washington, DC: Institute for Medicaid Innovation, 77 pp.

Annotation: This report examines innovative approaches to perinatal and child health services within Medicaid programs to support communities and advance health equity. The document profiles various initiatives focused on improving maternal and child health outcomes through the prenatal-to-three framework. Key areas covered include advancing a culturally congruent perinatal workforce through doula programs, partnering with maternal and child home visiting programs, integrating community input in program design, coordinating care for mothers with opioid use disorder, and investing in high-quality perinatal and child healthcare services. The research was supported by the Pritzker Children's Initiative and developed with input from a national advisory committee comprising clinical, scientific, and policy experts representing diverse healthcare organizations, academic institutions, and policy centers.

Keywords: Child health services, Community based services, Health equity, Initiatives, Medicaid, Outreach, Perinatal care, Perinatal services, Research

McGlynn A, Nimako N, Moore JE. 2023. Maternal health equity in Medicaid: Prenatal-to-3. Washington, DC: Institute for Medicaid Innovation, 10 pp.

Annotation: This issue brief outlines policy issues and opportunities related to the prenatal-to-3 period in Medicaid coverage. It examines models of care that address both parent and child health needs during this critical developmental period, including home visiting programs, group care, and dyadic services. The brief focuses on four key policy areas: workforce development for community-based workers, payment reforms to expand coverage and reimbursement models, data collection and quality measurement needs, and delivery system innovations to integrate services. It provides specific recommendations for creating a national 5-year strategic plan to increase access to evidence-based maternal health services through Medicaid while reducing inequities and centering care in communities.

Keywords: Child health, Health equity, Infant health services, MCH Services, Medicaid, Models, National programs, Policy, Strategic plan

Wheeler Y, Eldridge G, Moore JE. 2023. Maternal health equity in Medicaid: Doulas and perinatal community health workers. Washington, DC: Institute for Medicaid Innovation,

Annotation: This issue brief explains how Medicaid coverage for doula and perinatal community health worker services can help address maternal health inequities. It identifies four key policy areas affecting access to these services: workforce issues including certification requirements, payment challenges such as inadequate reimbursement rates, data collection needs, and delivery system reforms through managed care models. The document outlines state examples and policy opportunities to improve Medicaid coverage, with recommendations focused on standardizing training requirements, increasing reimbursement, enhancing data infrastructure, and exploring innovative payment models. The brief serves as background for developing a 5-year national strategic plan to expand access to evidence-based maternal health services through Medicaid.

Keywords: Community health workers, Doulas, Health equity, Maternal health, Medicaid, Policy

   

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