Delivering Key Insights – and Healthier Infants
Community Health Choice (CMC), a nonprofit Medicaid HMO, joined a maternity care bundled payment pilot to encourage better prenatal care, discourage C-sections, and reduce the number of premature and low birth weight babies. PROMETHEUS Analytics were integral to the program’s design, implementation and measurement. The systematic collection of quality data showed the importance of treating prenatal care, labor/birth, and postpartum care as connected phases of one episode, rather than three separate episodes. This continuum of care, coupled with bundled payment, addresses important structural issues that can lead to improved outcomes.