[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100491405":3},{"organization":4,"armGroups":7,"interventions":26,"overallOfficials":21,"centralContacts":21,"locations":39,"responsibleParty":69,"collaborators":72,"id":76,"slug":77,"hasResults":78,"nctId":79,"briefTitle":80,"officialTitle":80,"acronym":21,"eligibilityCriteria":81,"healthyVolunteers":82,"sex":83,"minAge":21,"maxAge":21,"enrollmentInfo":84,"targetDuration":21,"studyType":87,"phases":88,"briefSummary":90,"conditions":91,"keywords":21,"overallStatus":42,"whyStopped":21,"lastUpdateSubmitDate":94,"lastUpdatePostDateStruct":95,"startDateStruct":98,"completionDateStruct":100,"leadSponsor":102,"locationsCount":103},{"fullName":5,"class":6},"University of Pittsburgh","OTHER",[8,14,19,23],{"label":9,"type":6,"description":10,"interventionNames":11},"Medicaid healthcare quality interventions (equity payment and obstetric bundled payment) Only","The investigators will employ a quasi-experimental study design to test two hypotheses: H1: SMM rates among Black people will decline after the interventions (equity payment and obstetric bundled payment), relative to people of other race groups within Pennsylvania (PA); and H2: Racial inequities in SMM will decline among those exposed to the interventions in PA, relative to those in similar states. The investigators will collect qualitative data to assess the effects of the Medicaid healthcare interventions on beneficiaries' experiences.",[12,13],"Behavioral: Medicaid healthcare quality interventions (equity payment and obstetric bundled payment)","Behavioral: Standard Care",{"label":15,"type":6,"description":16,"interventionNames":17},"Doula Only","The investigators will test two hypotheses: H1: SMM rates among Black people will decline more after the addition of doula care in PA, relative to healthcare quality interventions alone. H2: Racial inequities in SMM will decline more among those exposed to both healthcare quality and doula care interventions in PA, relative to states implementing doula care only. The investigators will collect qualitative data to assess the effects of the Medicaid healthcare and service interventions on beneficiaries' experiences.",[18,13],"Behavioral: Doula",{"label":20,"type":6,"description":21,"interventionNames":22},"Medicaid healthcare quality interventions (equity payment and obstetric bundled payment) + Doula",null,[12,18,13],{"label":24,"type":25,"description":21,"interventionNames":21},"Standard Care","NO_INTERVENTION",[27,32,36],{"type":28,"name":29,"description":30,"armGroupLabels":31,"otherNames":21},"BEHAVIORAL","Medicaid healthcare quality interventions (equity payment and obstetric bundled payment)","This study has two components, with the first component being examined in Aim 1 and the first and second components being examine in aim 2.\n\n1\\) health equity incentive payment program makes available $26 million annually in Medicaid managed care organization (MCO) payments to plans that improve access to timely prenatal care and well-child visits among Black beneficiaries. The equity-focused obstetric care bundled payment model provides incentives for clinicians to improve on a wide range of pregnancy health outcomes, and specifically incentivizes improvements among Black beneficiaries",[20,9],{"type":28,"name":33,"description":34,"armGroupLabels":35,"otherNames":21},"Doula","This study has two components, with the first component being examined in Aim 1 and the first and second components being examine in aim 2.\n\n1. health equity incentive payment program makes available $26 million annually in Medicaid managed care organization (MCO) payments to plans that improve access to timely prenatal care and well-child visits among Black beneficiaries. The equity-focused obstetric care bundled payment model provides incentives for clinicians to improve on a wide range of pregnancy health outcomes, and specifically incentivizes improvements among Black beneficiaries.\n2. care intervention by coverage of doula services for all Medicaid beneficiaries across Pennsylvania.",[15,20],{"type":28,"name":24,"description":37,"armGroupLabels":38,"otherNames":21},"Participants receive standard care without quality interventions or doula care",[15,20,9],[40],{"facility":41,"status":42,"city":43,"state":44,"zip":45,"country":46,"countryCode":47,"cosmosGeoPoint":48,"geoPoint":53,"contacts":54},"University of Pittsburgh School of Public Health","RECRUITING","Pittsburgh","Pennsylvania","15261","United States","US",{"type":49,"coordinates":50},"Point",[51,52],-79.99589,40.44062,{"lat":52,"lon":51},[55,60,64,66],{"name":56,"role":57,"phone":58,"phoneExt":21,"email":59},"Dara D Mendez, PhD","CONTACT","4126485664","ddm11@pitt.edu",{"name":61,"role":57,"phone":62,"phoneExt":21,"email":63},"Marquita Smalls, MPH","4123830574","mns69@pitt.edu",{"name":56,"role":65,"phone":21,"phoneExt":21,"email":21},"PRINCIPAL_INVESTIGATOR",{"name":67,"role":68,"phone":21,"phoneExt":21,"email":21},"Marian P Jarlenski, PhD","SUB_INVESTIGATOR",{"type":65,"investigatorFullName":70,"investigatorTitle":71,"investigatorAffiliation":5,"oldNameTitle":21,"oldOrganization":21},"Dara Mendez","Associate Professor",[73],{"name":74,"class":75},"National Institute of Nursing Research (NINR)","NIH","100491405","the-effects-of-medicaid-policy-interventions-on-racial-equity-in-severe-maternal-morbidity-100491405",false,"NCT05678699","The Effects of Medicaid Policy Interventions on Racial Equity in Severe Maternal Morbidity","Inclusion Criteria:\n\n* Pregnant and postpartum Medicaid beneficiaries across the US\n\nQualitative:\n\n* Medicaid beneficiaries who self-identify as Black and\u002For live in PA Health Equity Zones\n* Doulas who provide care to Medicaid beneficiaries in Pennsylvania\n* 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\n\nExclusion Criteria:\n\n\\-",true,"ALL",{"count":85,"type":86},10000000,"ESTIMATED","INTERVENTIONAL",[89],"NA","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:\n\n1. What is the effect of Medicaid healthcare quality interventions on SMM?\n2. What is the effect of Medicaid healthcare quality interventions + doula care?\n3. What are Medicaid beneficiaries' experiences in receiving services and the potential impact of integration of doula services and equity practices?\n\nParticipants will be asked to describe experiences as a result of structural interventions and focused Medicaid policies.",[92,93],"Severe Maternal Morbidity","Maternal Death","2025-07-17",{"date":96,"type":97},"2025-07-22","ACTUAL",{"date":99,"type":97},"2023-01-03",{"date":101,"type":86},"2027-06",{"name":5,"class":6},1]