MACPAC Response to Senate Finance Committee Request for Information on Maternal Health
Summarizes the Medicaid and CHIP Payment and Access Commission's (MACPAC) examination of the role of Medicaid in maternity care. Describes results of its analysis of Medicaid-financed maternity care and program performance, an inventory of Medicaid policies, and plans to analyze policy solutions. Includes rural references throughout.
Date: 03/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Measurement of Nutrition Environments in Grocery Stores, Convenience Stores, and Restaurants in the Lower Mississippi Delta
Reports on the Delta Food Outlets Study, evaluating the local nutrition environments of pregnant woman and their infants living in rural Lower Mississippi Delta to assess environmental exposures influencing their dietary habits. Study participants had previously participated in a nutrition and physical activity intervention, the Delta Health Sprouts Project.
Author(s): Jessica L. Thomson, Melissa H. Goodman, Alicia S. Landry
Citation: Preventing Chronic Disease, 17
Date: 03/2020
Type: Document
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Severe Maternal Morbidity and Mortality Among Indigenous Women in the United States
Compares maternal mortality and morbidity rates of Native American and Alaska Native women to those of non-Hispanic white women in both rural and urban areas across the U.S. Draws from hospital discharge data from 2012 to 2015.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Alena N. Tofte, Lindsay K. Admon
Citation: Obstetrics and Gynecology, 135(2), 294-300
Date: 02/2020
Type: Document
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A Best Practices Approach to Treating Maternal Hemorrhage
Provides an overview of how Titus Regional Medical Center in Mount Pleasant, Texas, developed and implemented protocols to improve maternal hemorrhage outcomes. Discusses the impact and lessons learned from implementing the protocols as well, as future maternal health improvement goals at the medical center.
Date: 02/2020
Type: Document
Sponsoring organization: American Hospital Association
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Telemedicine and Pregnancy Care
Explores the role telemedicine can play in providing prenatal and postpartum care to women in rural areas. Highlights the types of specialized care that can be delivered via telemedicine to support maternal care in rural areas. Discusses some of the barriers to telemedicine implementation, including state-level Medicaid reimbursement policy.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji
Date: 02/2020
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Patient and Hospital Factors Associated With Unexpected Newborn Complications Among Term Neonates in US Hospitals
Results of a study to examine the rates of severe, unexpected complications in full term newborns in 576 hospitals from January 2015 - December 2017. Explores whether rates vary significantly among hospitals and looks at risk factors and possible causes of variation. Features statistics on characteristics of mothers, hospitals, and delivery types, and median percentage of rural population in the counties where deliveries occurred.
Author(s): Mark A. Clapp, Kaitlyn E. James, Sara V. Bates
Citation: JAMA Network Open, 3(2)
Date: 02/2020
Type: Document
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Are Rural Infants Benefiting from WIC Food Package Rule Changes? Breastfeeding and Infant Feeding Behaviors
Examines if 2009 revisions to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) changed breastfeeding and infant feeding practices among rural and urban WIC participants. Compares breastfeeding initiation rates and the age infants were introduced to solid foods in rural and urban areas. Discusses implications for future policies to promote breastfeeding and healthy infant feeding practices.
Author(s): Ariun Ishdorj, Hongyang Di, Elfreda Samman, Lisako McKyer
Date: 02/2020
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Infants Without Health Insurance: Racial/Ethnic and Rural/Urban Disparities in Infant Households' Insurance Coverage
Explores how the uneven expansion of Medicaid affects the racial/ethnic health insurance coverage for infants across rural and urban areas in the U.S. Highlights spatial patterns in health insurance coverage among infants, and examines the probability that an infant will be born without health insurance coverage using 2011-2015 American Community Survey (ACS) data and logistic regression.
Author(s): Scott R Sanders, Michael R Cope, Paige N Park, Wesley Jeffery, Jorden E Jackson
Citation: PLoS ONE, 15(1)
Date: 01/2020
Type: Document
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Medicaid's Role in Financing Maternity Care
Examines the characteristics of births financed by Medicaid and other payers in 2018. Describes the demographics and health status of pregnant women by insurance type, including urban versus rural residence. Provides state-by-state data on births by payer as well as the location of birth, access to prenatal care, and birth outcomes among Medicaid beneficiaries.
Date: 01/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Expecting More: Addressing America's Maternal and Infant Health Crisis
Provides recording and witness testimony from the U.S. House of Representatives' Joint Subcommittee on Health, Employment, Labor, and Pensions and Workforce Protections Hearing on maternal mortality and disparities in maternal and infant care. Testimony includes some discussion of maternity care in rural areas.
Additional links: Joia Crear Perry Testimony, Stacey D. Stewart Testimony, Video of Hearing
Date: 01/2020
Type: Website
Sponsoring organization: U.S. House of Representatives
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