Many Medicaid programs and private health plans are implementing new models of maternity care reimbursement, and clinicians face mounting pressure to demonstrate high-quality care at a lower cost. Clinicians will be better prepared to meet these challenges with a fuller understanding of new payment models and the opportunities they present. We describe the structure of maternity care episode payments and recommend 4 ways that clinicians can prepare for success as value-based payment models are implemented: identify opportunities to improve outcomes and experience, measure quality, reduce waste, and work in teams across settings.

Authors: Malini A. Nijagal, MD, MPH; Neel T. Shah, MD, MPP; Jeff Levin-Scherz, MD, MBA

Published: January 12, 2019

DOI: https://doi.org/10.1016/j.ajog.2018.01.014

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