The Effects of Medicaid Policy Interventions on Racial Equity in Severe Maternal Morbidity
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorUniversity of Pittsburgh
About this trial
The goal of this study is to learn about the effects of structural inventions, such as equity-focused Medicaid polices, on severe maternal morbidity (SMM) and mortality and maternal health. The main questions it aims to answer are:
1. What is the effect of Medicaid healthcare quality interventions on SMM? 2. What is the effect of Medicaid healthcare quality interventions + doula care? 3. What are Medicaid beneficiaries' experiences in receiving services and the potential impact of integration of doula services and equity practices?
Participants will be asked to describe experiences as a result of structural interventions and focused Medicaid policies.
Eligibility criteria
Qualifiers
Pregnant and postpartum Medicaid beneficiaries across the US
Medicaid beneficiaries who self-identify as Black and/or live in PA Health Equity Zones
Doulas who provide care to Medicaid beneficiaries in Pennsylvania
Medicaid Managed Care Organization (MCO) administrators in Pennsylvania. Severe maternal morbidity and mortality outcomes will be assessed in healthcare records and for these quantitative outcomes, patients will not be recruited individually
Disqualifiers
None
Trial design
Treatments tested in this trial
- Medicaid healthcare quality interventions (equity payment and obstetric bundled payment)
- Doula
- Standard Care
Treatment groups
10,000,000 Participants
are divided into 4 treatment groupsSponsors and collaborators
University of Pittsburgh
Lead sponsor
National Institute of Nursing Research (NINR)
Collaborator
Source ClinicalTrials.gov