Medicaid Home Visitation and Maternal and Infant Healthcare Utilization

Meghea, Cristian; Raffo, Jennifer E.; Zhu, Qi; Roman, LeeAnne

doi:10.1016/j.amepre.2013.05.005

Cited by 43 publications

(33 citation statements)

References 17 publications

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“…Data consisted of all Medicaid maternal medical claims during pregnancy, monthly mother and infant Medicaid eligibility from 3 months before conception through the first year after birth, and other program participation and infant birth and death records. 18 …”

Section: Study Population and Data Sourcesmentioning

confidence: 99%

“…Early enrollment and the dosage of services have been shown to be important components of EPC programs, including MIHP. [15][16][17][18] We previously found that participation in MIHP improved health care utilization for mothers and infants and that early prenatal program enrollment and screening and a dosage of MIHP services reduced the risk of prematurity and low birth weight. 16,18 We tested the hypothesis that participation in MIHP reduced the risk of infant death.…”

Section: What This Study Addsmentioning

confidence: 99%

“…[15][16][17][18] We previously found that participation in MIHP improved health care utilization for mothers and infants and that early prenatal program enrollment and screening and a dosage of MIHP services reduced the risk of prematurity and low birth weight. 16,18 We tested the hypothesis that participation in MIHP reduced the risk of infant death. The large study population allowed for analyses by race, relevant due to the large disparities in birth outcomes and infant mortality (whites 5/1000 versus blacks 12/1000), and separate neonatal and postneonatal analyses, important because causes and potential mechanisms of program effect may be very different in the 2 periods.…”

Section: What This Study Addsmentioning

confidence: 99%

“…By using the first MIHP indicator, the reported propensity score analysis retained in the analyses 86% of the MIHP clients matched with nonparticipants, and 93% using the second MIHP indicator, similar rates as in our previous MIHP-matched evaluations. 16, 18 The analyses were separately estimated for both MIHP indicators, including propensity score estimations and matching.…”

Section: Analysesmentioning

confidence: 99%

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Statewide Medicaid Enhanced Prenatal Care Programs and Infant Mortality

et al. 2015

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OBJECTIVE: To evaluate whether participation in a statewide enhanced prenatal and postnatal care program, the Maternal Infant Health Program (MIHP), reduced infant mortality risk.METHODS: Data included birth and death records, Medicaid claims, and program participation. The study population consisted of Medicaid-insured singleton infants born between January 1, 2009, and December 31, 2012, in Michigan (n = 248 059). The MIHP participants were propensity score-matched with nonparticipants based on demographics, previous pregnancies, socioeconomic status, and chronic disease. Infant mortality, neonatal mortality, and postneonatal mortality analyses were presented by race. CONCLUSIONS: A state Medicaid-sponsored population-based home-visitation program can be a successful approach to reduce mortality risk in a diverse, disadvantaged population. A likely mechanism is the reduction in the risk of adverse birth outcomes, consistent with previous findings on the effects of the program.

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Section: Study Population and Data Sourcesmentioning

confidence: 99%

Section: What This Study Addsmentioning

confidence: 99%

Section: What This Study Addsmentioning

confidence: 99%

Section: Analysesmentioning

confidence: 99%

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Statewide Medicaid Enhanced Prenatal Care Programs and Infant Mortality

et al. 2015

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“…13 In a Michigan study of Medicaid women who receive home visitation services, participants were more likely to receive prenatal care, a postnatal visit and their infants were more likely to receive the appropriate number of well-child visits over the first year of life. 29 An evaluation of the Minnesota visiting nurse agency (MVNA) reported that teens in the program experienced better birth outcomes than teens who were not in the program. 10 The nurse family partnership (NFP) has been reviewed in multiple studies over the years.…”

Section: Current Themes In Literaturementioning

confidence: 99%

Design matters in home visiting improvement

Babyar¹

2017

Int J Community Med Public Health

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Maternal and child health home visiting services play a critical role in healthcare within the United States. Programs are widely varied and services offered depend on local and regional adopted designs. Observational and experimental research provides mixed conclusive results. Some literature reports statistically significant positive outcomes for home visitation services while other research fails to duplicate or provide secondary matched findings. Future research design opportunities include national, inclusive, cross collaborative home visiting research that seeks to minimize limitations. Future home visiting programs should utilize research opportunities in public and private program redesign, continuous quality improvement as well as in accreditation for optimal effect on target populations. Only with strong, supportive research can maternal and child home visiting services be tailored, replicated and consistent across the United States.

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