Women’s Health

The Institute for Medicaid Innovation’s (IMI) work in women’s health is informed, guided, and supported by an exceptional group of national experts representing academic and non-academic research institutions, advocacy and community organizations, clinician groups, Medicaid managed care organizations, state and federal policymakers, and, most importantly, Medicaid enrollees and their families. These collaborative relationships support our mission to improve the lives of Medicaid enrollees through the development, implementation, and diffusion of innovative and evidence-based models of care that promote quality, value, equity and the engagement of patients, families, and communities.

IMI has conducted research and led initiatives on a number of critical women’s health topics in Medicaid managed care, such as severe maternal morbidity, maternal depression and anxiety, preventing preterm birth, and the opioid crisis.  Publications and resources from the projects and initiatives are listed below.  

Virtual Learning Series on Midwifery-Led Care in Medicaid 

Session 1: High-Value, Evidence-Based Maternal Models of Care and Birth Equity

4th Trimester Care

Article:  Extending Medicaid Coverage for Postpartum Moms

High-Value, Evidence-Based Maternal Models of Care

Report: Community-Based Maternal Support Services: The Role of Doulas and Community Health Workers in Medicaid

Report: Improving Maternal Health Access, Coverage, and Outcomes in Medicaid

Checklist: Essential Elements for a Maternal Health Initiative Business Case

Graphics: Social Media Graphics from Improving Maternal Health Access, Coverage, and Outcomes in Medicaid

Maternal Depression & Anxiety

Report:  Innovation in Maternal Depression and Anxiety:  Medicaid Initiatives in California and Nationwide Report

Fact Sheet:  Innovation in Maternal Depression and Anxiety:  Medicaid Initiatives in California and Nationwide Summary

Maternal Health Policies

           Interactive Map:  State Policies to Improve Maternal Health Outcomes

Maternal Mortality & Morbidity

Article: Associations Between Comorbidities and Severe Maternal Morbidity

Report:  Trends and Disparities in Delivery Hospitalizations Involving Severe Maternal Morbidity, 2006-2015

Opioid Use

Article:  Opioid Crisis in Medicaid:  Saving Mothers & Babies

Report:  Addressing the Opioid Epidemic in Medicaid Managed Care for Women & Newborns

Fact Sheet:  Opioid Summit Infographic

Pre-Term Birth

Article: County-level Variation in Low–birth Weight and Preterm Birth: An Evaluation of State Medicaid Expansion Under the Affordable Care Act

Report: Preventing Preterm Birth: An Update for Medicaid MCOs on Utilization of Progesterone 

Article:  Association of State Medicaid Expansion Status with Low Birth Weight and Preterm Birth

     JAMA Editor's Note on Article:  Medicaid Expansion and Birth Outcomes

Article:  Variation in Coverage for Progesterone to Prevent Pre-Term Birth:  A Survey of Medicaid Managed Care Organizations

Report:  Preventing Pre-Term Birth:  Access to Progesterone in Medicaid Managed Care Report

Clinical Decision Aid:  Preventing Pre-Term Birth:  Access to Progesterone in Medicaid Managed Care Clinical Decision Aid

Reproductive Health

Report: Advancing Person-Centered LARC Access Among the Medicaid Population

Report:  Challenges & Opportunities in Women's Health Care Coverage, Access, and Delivery in Medicaid

Article:  Disparities by Sex Tracked in the 2015 National Healthcare Quality and Disparities Report:  Trends Across National Quality Strategy Priorities, Health Conditions, and Access Measures

Report:  Medicaid Managed Care and Reproductive Health Care Services for Women

 

The Institute for Medicaid Innovation (IMI) recognizes that there are individuals who become pregnant and give birth who might not identify as women. Individuals who identify as women may also depend on a diverse set of health care needs. The above reports frequently use the words “woman,” “women,” and “maternal.” This includes transgender, gender non-conforming, and non-binary individuals who might need the suite of care services related to pregnancy, birth, and postpartum care. Also, “maternal care” in these documents includes all individuals who require such services. The documents use the pronouns “they/them/theirs” whenever possible in recognition of the gender-diverse population who may be included in maternal care. IMI has attempted to create resources that are gender-neutral, limiting gendered language and only using such terms when necessary to conform with language specified in Medicaid requirements, statutes/policy language, and cited research and data. IMI hopes to create resources that are inclusive of all individuals in the Medicaid community and their diverse health care needs.