Innovative Approaches to Improving Birth Outcomes

The latest issue of AHRQ's Health Care Innovations Exchange ( features three programs that used innovative approaches to improve outcomes for newborns and pregnant women.

One profile describes a policy to deny insurance payment for hospital and physician charges associated with early births (prior to 39 weeks gestational age) involving elective inductions or nonmedically indicated deliveries. This policy, implemented jointly by the South Carolina Department of Health and Human Services and BlueCross BlueShield of South Carolina, followed a voluntary effort by providers that led to declines in early, elective inductions and deliveries.

The nonpayment policy, which launched on January 1, 2013, was implemented in stages  beginning in July 2012. During the first three months after ramp-up began (July 2012 through September 2012), admissions of newborns to neonatal intensive care units and total birth-related costs came in below projections based on claims data, suggesting the policy has generated improvements in health outcomes and cost reductions.

Select to access AHRQ's Innovations Exchange.

Page last reviewed April 2015
Internet Citation: Innovative Approaches to Improving Birth Outcomes. April 2015. Agency for Healthcare Research and Quality, Rockville, MD.