The Icahn School of Medicine at Mount Sinai partnered with Healthfirst (a Medicaid managed care organization and the largest insurer of Medicaid deliveries at the Mount Sinai Health System) and a multidisciplinary team of experts in obstetrics, health economics, and disparities to design an intervention to improve care and reduce disparities in care for high-risk women. The payment system redesign included a cost-sharing arrangement between the Health System and Healthfirst to cover the cost of case manager staff (social worker and care coordinator) and clinician education, and small financial incentives. After completion of this intervention, researchers concluded that it had a significant effect on postpartum visit rates among enrolled Medicaid-eligible mothers at The Mount Sinai Hospital. 

Authors: Amy Balbierz, MPH, Blavatnik Family Women’s Health Research Institute

Published: August 22, 2019

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