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.
New: Doula and Perinatal Community Health Workers in Medicaid Learning Series
The Institute for Medicaid Innovation and Every Mother Counts are launching this comprehensive and actionable virtual learning series to equip state Medicaid agencies, Medicaid health plans, provider groups, professional associations, and other Medicaid stakeholders with an awareness of community-based doulas and perinatal community health workers and their services, the evidence supporting their benefits and cost-effectiveness, and their potential to improve health equity in Medicaid. Registration closes November 21, 2022. Get more information here.
High-Value, Evidence-Based Maternal Models of Care
Report: Improving Maternal Health Access, Coverage, and Outcomes in Medicaid
Roadmap: Opportunities for Medicaid Stakeholders to Advance Midwifery-Led Models of Care
Checklist: Opportunities to Advance Midwifery-Led Models of Care: A Checklist for Medicaid Stakeholders
Release: IMI Explores Innovative Practices in Perinatal & Child Health 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
Virtual Learning Series on Midwifery-Led Care in Medicaid
Overview: Maternal Models Virtual Learning Series
Session 1: High-Value, Evidence-Based Maternal Models of Care and Birth Equity
Session 2: Value Proposition for Midwifery-Led Care in Medicaid
Session 3: Licensure, Credentialing, and Contracting in Medicaid
Session 4: Launching and Operating Medicaid Focused Midwifery-Led Models of Care
Session 5: Aligning State Medicaid Initiatives with Midwifery-Led Models of Care
Session 6: Building the Business Case to Support Birth Equity & Spark Policy Momentum
Maternal Health Policies
Interactive Map: State Policies to Improve Maternal Health Outcomes
Learning Collaborative on Midwifery-Led Care in Medicaid
Informational Flyer: Learning Collaborative on Midwifery-Led Care in Medicaid
Overview: Learning Collaborative on Midwifery-Led Care in Medicaid
Cancer Screening and Prevention
Fact Sheet: Impact of COVID-19 on Eligibility for the National Breast and Cervical Cancer Early Detection Program
Maternal Mortality & Morbidity
Workshop Proceedings: Advancing Maternal Health Equity and Reducing Maternal Morbidty and Mortality (Pgs 126-132)
Report: Reversing the U.S. Maternal Mortality Crisis
Article: Race, Medicaid Coverage, and Equity in Maternal 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
Perinatal Mental Health (Depression & Anxiety)
Podcast: Perinatal Mental Illness is Very Common. How Can It Be Improved?
Release Event: Health Affairs Briefing Perinatal Mental Health
Medicaid Enrollee Interview: Navigating Mental Health Services While Pregnant
Fact Sheet: Innovation in Maternal Depression and Anxiety: Medicaid Initiatives in California and Nationwide Summary
Pre-Term Birth
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
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
4th Trimester Care
Reproductive Health
Commentary: Long-Acting Reversible Contraception in Medicaid: Where Do We Go From Here?
Report: Advancing Person-Centered LARC Access Among the Medicaid Population
Report: Challenges & Opportunities in Women's Health Care Coverage, Access, and Delivery in Medicaid
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.