Posts tagged with 'Center for Healthcare Quality and Payment Reform'

From the TMC blog: 5 reasons birth centers have met their moment

Childbirth Connection has been advocating for greater access to birth centers for much of our 95 year history. We opened the first urban birth center in 1975 and helped found the organization that would later become the American Association of Birth Centers (AABC). Our director from 1970 to 1995, Ruth Lubic, went on to win a MacArthur “Genius” Award for her pioneering work in birth center innovation. Although the number of birth centers has increased in the intervening decades, birth centers remain a very small segment of the health care system. Just 0.3% of U.S. births take place in birth centers.

But a new study out today and a congressional briefing next week are sure to heighten attention to this high-quality, high-value care option. Added to other trends and recent developments, we anticipate this new study will trigger rapid growth in birth centers, and more focused and innovative efforts to integrate birth centers into the health care system. Here are 5 reasons birth centers have met their moment.

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Filed in Blog, Clinicians, Consumers, Costs - Charges - Value, Hospitals and Health Systems, New Reports and Resources on Thu., Jan 31, 2013

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From the TMC blog: Overuse of c-sections: bad for women, babies, and the bottom line

Last month, Childbirth Connection issued Cesarean or Vaginal Birth: What Is At Stake for Mothers and Babies, a best evidence review cataloging dozens of adverse outcomes made more common by cesarean surgery. Maternal infections, prolonged pain, life-threatening complications, and childhood chronic illnesses – evidence demonstrates cesarean increases the likelihood of each of these. These risks are appropriate tradeoffs in some circumstances when cesarean offers a clear benefit. But a growing chorus of obstetric leaders and maternity care reformers are warning that the c-section rate is too high. For the benefit of public health – for the 4 million women who give birth every year and their 4 million babies – we must work to safely rein in the overuse of c-sections.

Today, we learn the extent to which c-section overuse is driving up health care costs, too. Together with Catalyst for Payment Reform and the Center for Healthcare Quality and Payment Reform, we have issued The Cost of Having a Baby in the United States, prepared by Truven Health Analytics.

What is at stake for payers? Not only do unwarranted c-sections create greater health risks for women and babies, this study shows that they also dramatically increase costs for employers and, through Medicaid programs, state and federal budgets.

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Filed in Blog, Costs - Charges - Value, New Reports and Resources on Mon., Jan 7, 2013

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