Does Maternity Care Coordination Influence Perinatal Health Care Utilization?
Hillemeier, M. M., Domino, M. E., Wells, R., Goyal, R. K., Kum, H-C., Cilenti, D., & Basu, A. (2017). Does Maternity Care Coordination Influence Perinatal Health Care Utilization? Evidence from North Carolina. Health Services Research. DOI: 10.1111/1475-6773.12742
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.