Cost effectiveness of a high-risk pregnancy program

J W Alexander1, M C Mackey

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

This article presents an evaluation of an innovative community-based, case-management program for high-risk pregnant women and their infants. A 7-year analysis of the Medicaid claims from 182,196 pregnant women and those for 140,088 infants was conducted. The findings showed improved birth outcomes and a steady decrease in the cost of care for both pregnant women and their infants. Recommendations are made concerning implementation of this program in other settings with other clients.