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Cost effectiveness of a high-risk pregnancy program.

J W Alexander1, M C Mackey

  • 1College of Nursing, University of South Carolina, Columbia 29208, USA.

Care Management Journals : Journal of Case Management ; the Journal of Long Term Home Health Care
|March 1, 2000
PubMed
Summary

This study evaluated a community case-management program for high-risk mothers and infants, finding improved birth outcomes and reduced healthcare costs. The program shows promise for wider implementation.

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Area of Science:

  • Public Health
  • Maternal and Child Health
  • Healthcare Management

Background:

  • High-risk pregnancies pose significant challenges to maternal and infant health outcomes.
  • Effective case-management programs are crucial for mitigating risks and improving care.
  • Community-based interventions offer a promising approach to support vulnerable populations.

Purpose of the Study:

  • To evaluate the effectiveness of an innovative community-based case-management program.
  • To assess the program's impact on birth outcomes for high-risk pregnant women and their infants.
  • To analyze the program's effect on healthcare costs for this population.

Main Methods:

  • A 7-year retrospective analysis of Medicaid claims data.
  • Inclusion of 182,196 pregnant women and 140,088 infants in the study cohort.

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  • Evaluation of birth outcomes and healthcare expenditures.

    • Main Results:

    • The program demonstrated improved birth outcomes for high-risk pregnancies.
    • A consistent decrease in the cost of care was observed for both mothers and infants.
    • Significant positive impact on health and economic aspects of care.

    Conclusions:

    • The community-based case-management program is effective in improving maternal and infant health.
    • The program offers a cost-effective solution for managing high-risk pregnancies.
    • Recommendations for broader implementation in diverse settings and client groups.