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Group Prenatal Care: A Financial Perspective.

Rebecca A Rowley1, Lindsay E Phillips2, Lisa O'Dell3

  • 1Department of Obstetrics and Gynecology, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY, 14642, USA. rebecca_rowley@urmc.rochester.edu.

Maternal and Child Health Journal
|August 1, 2015
PubMed
Summary

Group prenatal care (GPC) offers improved outcomes and can be financially sustainable for urban clinics. Cost-effectiveness is achieved with as few as 5 women per group, making GPC a viable option.

Keywords:
CenteringPregnancy®Cost driversFinancial feasibilityFinancial modelsGroup prenatal careHealthcare economicsImproved birth weight

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Area of Science:

  • Healthcare economics
  • Maternal health services
  • Public health

Background:

  • Group prenatal care (GPC) is linked to better perinatal outcomes, including reduced prematurity and increased maternal satisfaction.
  • Despite benefits, the outpatient financial costs of GPC programs remain largely unquantified.
  • Existing research highlights GPC's clinical advantages but lacks financial viability data.

Purpose of the Study:

  • To establish the outpatient financial costs and revenue potential of group prenatal care (GPC).
  • To determine the financial sustainability and income generation capacity of GPC in an urban, underserved setting.
  • To provide a financial modeling tool for maternity care practices considering GPC implementation.

Main Methods:

  • Developed a financial model forecasting costs and revenues for GPC based on participant numbers and various operational factors.
  • Incorporated variables such as patient demographics, payor mix, show rates, staffing, supplies, and overhead.
  • Focused the model's application on an urban, underserved practice setting.

Main Results:

  • Modeled adjusted revenue per pregnancy was $1080.69 for GPC, compared to $989.93 for traditional prenatal care.
  • Cost neutrality for GPC was reached with an average of 10.65 women per group using enriched staffing.
  • With a single nurse and clinician, GPC achieved cost neutrality with approximately 4.8 women per group.

Conclusions:

  • Mathematical cost-benefit analysis indicates GPC is financially sustainable and potentially profitable for outpatient clinics.
  • GPC can serve as a net income generator, challenging previous assumptions about its financial feasibility.
  • This financial model can assist practices in demonstrating the economic practicality of adopting GPC.