Oregon's coordinated care organizations increased timely prenatal care initiation and decreased disparities

Health Affairs

Volumn 35, Issue 9, 2016, Pages 1625-1632

  Muoto, Ifeoma ^a,b,c   Luck, Jeff ^b   Yoon, Jangho ^b   Bernell, Stephanie ^b   Snowden, Jonathan M ^c,d  

^a KAISER PERMANENTE   (United States)

^b OREGON STATE UNIVERSITY   (United States)

^c OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^d OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BIRTH CERTIFICATE; FINANCIAL MANAGEMENT; MEDICAID; MODEL; OREGON; ORGANIZATION; PRENATAL CARE; PROBABILITY; WASHINGTON; ADULT; COMPARATIVE STUDY; ECONOMICS; FACTUAL DATABASE; FEMALE; HEALTH CARE DISPARITY; HEALTH CARE PLANNING; HEALTH CARE QUALITY; HUMAN; ORGANIZATION AND MANAGEMENT; POVERTY; PREGNANCY; RETROSPECTIVE STUDY; STATISTICS AND NUMERICAL DATA; TIME FACTOR; UNITED STATES; YOUNG ADULT;

ADULT; DATABASES, FACTUAL; FEMALE; HEALTHCARE DISPARITIES; HUMANS; MEDICAID; OREGON; ORGANIZATIONAL INNOVATION; POVERTY; PREGNANCY; PRENATAL CARE; QUALITY ASSURANCE, HEALTH CARE; REGIONAL HEALTH PLANNING; RETROSPECTIVE STUDIES; TIME FACTORS; UNITED STATES; WASHINGTON; YOUNG ADULT;

EID: 84988446449     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2016.0396     Document Type: Article

References (37)

1. Hamilton BE, Martin JA, Osterman MJ, Curtin SC, Matthews TJ. Births: final data for 2014. Natl Vital Stat Rep. 2015;64(12):1-64.
2. Dowswell T, Carroli G, Duley L, Gates S, Gülmezoglu AM, Khan-Neelofur D, et al. Alternative versus standard packages of antenatal care for low-risk pregnancy. Cochrane Database Syst Rev. 2010;(10): CD000934.
3. Loftus CT, Stewart OT, Hensley MD, Enquobahrie DA, Hawes SE. A longitudinal study of changes in prenatal care utilization between first and second births and low birth weight. Matern Child Health J. 2015;19(12):2627-35.
4. Partridge S, Balayla J, Holcroft CA, Abenhaim HA. Inadequate prenatal care utilization and risks of infant mortality and poor birth outcome: a retrospective analysis of 28,729,765 U.S. deliveries over 8 years. Am J Perinatol. 2012;29(10):787-93.
5. Healthy People 2020. Maternal, infant, and child health 2014 [Internet]. Washington (DC): Healthy People.gov; [cited 2016 Jul 26]. Available from: https://www.healthy people.gov/2020/topics-objectives/ topic/maternal-infant-and-childhealth/ objectives
6. Forouzanfar MH, Alexander L, Anderson HR, Bachman VF, Biryukov S, Brauer M, et al. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386(10010):2287-323.
7. Howell EM, Dubay L, Kenney G, Sommers AS. The impact of Medicaid managed care on pregnant women in Ohio: a cohort analysis. Health Serv Res. 2004;39(4 Pt 1): 825-46.
8. Meghea CI, Raffo JE, Zhu Q, Roman L. Medicaid home visitation and maternal and infant healthcare utilization. Am J Prev Med. 2013;45(4): 441-7.
9. Bryant AS, Worjoloh A, Caughey AB, Washington AE. Racial/ethnic disparities in obstetric outcomes and care: prevalence and determinants. Am J Obstet Gynecol. 2010;202(4): 335-43.
10. Docherty A, Johnston AL. Prenatal care in Oregon and Washington: policy and utilization for vulnerable women. Nurs Res. 2015;64(2):117-27.
11. Mechanic RE, Santos P, Landon BE, Chernew ME. Medical group responses to global payment: early lessons from the "Alternative Quality Contract" in Massachusetts. Health Aff (Millwood). 2011;30(9):1734-42.
12. Kahn CN 3rd, Ault T, Potetz L, Walke T, Chambers JH, Burch S. Assessing Medicare's hospital pay-for-performance programs and whether they are achieving their goals. Health Aff (Millwood). 2015;34(8):1281-8.
13. McConnell KJ, Chang AM, Cohen DJ, Wallace N, Chernew ME, Kautz G, et al. Oregon's Medicaid transformation: an innovative approach to holding a health system accountable for spending growth. Healthc (Amst). 2014;2(3):163-7.
14. Howard SW, Bernell SL, Yoon J, Luck J, Ranit CM. Oregon's experiment in health care delivery and payment reform: coordinated care organizations replacing managed care. J Health Polit Policy Law. 2015;40(1): 245-55.
15. Oregon Health Authority. Oregon's health system transformation: 2014 final report [Internet]. Salem (OR): OHA; 2015 Jun 24 [cited 2016 Jul 26]. Available from: http:// www.oregon.gov/oha/Metrics/ Documents/2014%20Final%20 Report%20-%20June%202015.pdf
16. Ranji U, Salganicoff A, Stewart AM, Cox M, Doamekpor L. State Medicaid coverage of perinatal services: summary of state survey findings [Internet]. Menlo Park (CA): Henry J. Kaiser Family Foundation; 2009 Nov 1 [cited 2016 Jul 26]. Available from: http://kff.org/medicaid/issuebrief/ state-medicaid-coverage-ofperinatal-services-summary/
17. Association of State and Territorial Health Officials. Medicaid quality improvement measures-reducing elective deliveries in Washington State [Internet]. Arlington (VA): ASTHO; 2014 [cited 2016 Jul 26]. Available from: http://www.astho.org/Maternal-and-Child-Health/ Washington-Uses-Quality-Improvement-Measures-to-Reduces-Elective-Deliveries/
18. Oregon Association of Hospitals and Health Systems [Internet]. Lake Oswego (OR): OAHHS; 2012. Press release, One year after "hard stop," Oregon hospitals lower early elective births by as much as 86%; 2012 Nov 13 [cited 2016 Jul 26]. Available from: http://www.oahhs.org/newsand-publications/press-releases/ one-year-after-hard-stop-oregonhospitals-lower-early-elective
19. Cheng YW, Nicholson JM, Nakagawa S, Bruckner TA, Washington AE, Caughey AB. Perinatal outcomes in low-risk term pregnancies: do they differ by week of gestation? Am J Obstet Gynecol. 2008;199(4):370.e1-7.
20. LeapFrog Group. Results of the 2013 Leapfrog Hospital Survey [Internet]. Washington (DC): Leapfrog Group; 2013 [cited 2016 Jul 26]. Available from: http://www.leapfroggroup.org/sites/default/files/Files/ 2013LeapfrogHospitalSurveyResults Report.pdf
21. Kotelchuck M. An evaluation of the Kessner Adequacy of Prenatal Care Index and a proposed Adequacy of Prenatal Care Utilization Index. Am J Public Health. 1994;84(9):1414-20.
22. de Preux LB. Anticipatory ex ante moral hazard and the effect of Medicare on prevention. Health Econ. 2011;20(9):1056-72.
23. Lain SJ, Hadfield RM, Raynes-Greenow CH, Ford JB, Mealing NM, Algert CS, et al. Quality of data in perinatal population health databases: a systematic review. Med Care. 2012;50(4):e7-20.
24. Martin JA, Wilson EC, Osterman MJ, Saadi EW, Sutton SR, Hamilton BE. Assessing the quality of medical and health data from the 2003 birth certificate revision: results from two states. Natl Vital Stat Rep. 2013; 62(2):1-19.
25. DiGiuseppe DL, Aron DC, Ranbom L, Harper DL, Rosenthal GE. Reliability of birth certificate data: a multihospital comparison to medical records information. Matern Child Health J. 2002;6(3):169-79.
26. Zollinger TW, Przybylski MJ, Gamache RE. Reliability of Indiana birth certificate data compared to medical records. Ann Epidemiol. 2006;16(1):1-10.
27. Braveman P, Pearl M, Egerter S, Marchi K, Williams R. Validity of insurance information on California birth certificates. Am J Public Health. 1998;88(5):813-6.
28. Sauber-Schatz EK, Sappenfield WM, Shapiro-Mendoza CK. Comprehensive review of sleep-related sudden unexpected infant deaths and their investigations: Florida 2008. Matern Child Health J. 2015;19(2):381-90.
29. Centers for Disease Control and Prevention. PRAMStat system [Internet]. Atlanta (GA): CDC; 2015 [cited 2016 Jul 26]. Available from: http://www.cdc.gov/prams/ pramstat/index.html
30. Bodnar LM, Abrams B, Bertolet M, Gernand AD, Parisi SM, Himes KP, et al. Validity of birth certificate-derived maternal weight data. Paediatr Perinat Epidemiol. 2014;28(3): 203-12.
31. Rhoads KF, Patel MI, Ma Y, Schmidt LA. How do integrated health care systems address racial and ethnic disparities in colon cancer? J Clin Oncol. 2015;33(8):854-60.
32. Song Z, Safran DG, Landon BE, Landrum MB, He Y, Mechanic RE, et al. The "Alternative Quality Contract," based on a global budget, lowered medical spending and improved quality. Health Aff (Millwood). 2012;31(8):1885-94.
33. Song Z, Safran DG, Landon BE, He Y, Ellis RP, Mechanic RE, et al. Health care spending and quality in year 1 of the alternative quality contract. N Engl J Med. 2011; 365(10):909-18.
34. McConnell KJ. Oregon's Medicaid coordinated care organizations. JAMA. 2016;315(9):869-70.
35. Cogan LW, Josberger RE, Gesten FC, Roohan PJ. Can prenatal care impact future well-child visits? The experience of a low income population in New York State Medicaid managed care. Matern Child Health J. 2012; 16(1):92-9.
36. Hale N, Picklesimer AH, Billings DL, Covington-Kolb S. The impact of centering pregnancy group prenatal care on postpartum family planning. Am J Obstet Gynecol. 2014;210(1): 50.e1-7.
37. Oregon Health Authority. Oregon's health system transformation: CCO metrics 2015 mid-year update [Internet]. Salem (OR): OHA; 2016 Jan 20 [cited 2016 Jul 26]. Available from: http://www.oregon.gov/oha/ Metrics/Documents/2015%20Mid-Year%20Report%20-%20Jan%20 2016.pdf