Evidence map›Paper›PMID 26979611›Full record

ArticleMaternal and child health journal2016

Group Prenatal Care Results in Medicaid Savings with Better Outcomes: A Propensity Score Analysis of CenteringPregnancy Participation in South Carolina.

Sarah Gareau, Ana Lòpez-De Fede, Brandon L Loudermilk, Tammy H Cummings, James W Hardin, Amy H Picklesimer, Elizabeth Crouch, Sarah Covington-Kolb

Abstract read
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In one paragraph

Article in Maternal and child health journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
37.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 90 citations in OpenAlex.

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  6. Impact of group prenatal care on key prenatal services and educational topics in Malawi and Tanzania.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021
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  13. Health economic evaluations of programs reducing preterm birth: A scoping review.International journal of nursing studies advances · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Sarah GareauDivision of Medicaid Policy Research, Institute for Families in Society, University of South Carolina, 1600 Hampton Street, Suite 507, Columbia, SC, 29208, USA.
Ana Lòpez-De FedeDivision of Medicaid Policy Research, Institute for Families in Society, University of South Carolina, 1600 Hampton Street, Suite 507, Columbia, SC, 29208, USA. adefede@mpr.sc.edu.
Brandon L LoudermilkDivision of Medicaid Policy Research, Institute for Families in Society, University of South Carolina, 1600 Hampton Street, Suite 507, Columbia, SC, 29208, USA.
Tammy H CummingsDivision of Medicaid Policy Research, Institute for Families in Society, University of South Carolina, 1600 Hampton Street, Suite 507, Columbia, SC, 29208, USA.
James W HardinDivision of Medicaid Policy Research, Institute for Families in Society, University of South Carolina, 1600 Hampton Street, Suite 507, Columbia, SC, 29208, USA.
Amy H PicklesimerGreenville Health System Department of Obstetrics and Gynecology, 890 W. Faris Road, Suite 470, Greenville, SC, 29605, USA.
Elizabeth CrouchHealth Services Policy and Management, Arnold School of Public Health, University of South Carolina, 615 Greene Street, Columbia, SC, 29208, USA.
Sarah Covington-KolbGreenville Health System Department of Obstetrics and Gynecology, 890 W. Faris Road, Suite 470, Greenville, SC, 29605, USA.
University of South Carolina · USPrisma Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives This study was undertaken to determine the cost savings of prevention of adverse birth outcomes for Medicaid women participating in the CenteringPregnancy group prenatal care program at a pilot program in South Carolina. Methods A retrospective five-year cohort study of Medicaid women was assessed for differences in birth outcomes among women involved in CenteringPregnancy group prenatal care (n = 1262) and those receiving individual prenatal care (n = 5066). The study outcomes examined were premature birth and the related outcomes of low birthweight (LBW) and neonatal intensive care unit (NICU) visits. Because women were not assigned to the CenteringPregnancy group, a propensity score analysis ensured that the inference of the estimated difference in birth outcomes between the treatment groups was adjusted for nonrandom assignment based on age, race, Clinical Risk Group, and plan type. A series of generalized linear models were run to estimate the difference between the proportions of individuals with adverse birth outcomes, or the risk differences, for CenteringPregnancy group prenatal care participation. Estimated risk differences, the coefficient on the CenteringPregnancy group indicator variable from identity-link binomial variance generalized linear models, were then used to calculate potential cost savings due to participation in the CenteringPregnancy group. Results This study estimated that CenteringPregnancy participation reduced the risk of premature birth (36 %, P < 0.05). For every premature birth prevented, there was an average savings of $22,667 in health expenditures. Participation in CenteringPregnancy reduced the incidence of delivering an infant that was LBW (44 %, P < 0.05, $29,627). Additionally, infants of CenteringPregnancy participants had a reduced risk of a NICU stay (28 %, P < 0.05, $27,249). After considering the state investment of $1.7 million, there was an estimated return on investment of nearly $2.3 million. Conclusions Cost savings were achieved with better outcomes due to the participation in CenteringPregnancy among low-risk Medicaid beneficiaries.

Indexed as

Cost-Benefit AnalysisFemaleHumansInfant, Low Birth WeightMedicaidMothersObstetricsPregnancyPregnancy OutcomePremature BirthPrenatal CarePropensity ScoreRetrospective StudiesSocioeconomic FactorsSouth CarolinaUnited StatesBirth outcomesCenteringPregnancyCost savingsLow birthweightMedicaidNeonatal intensive carePreterm birth

Identifiers

PMID26979611
OpenAlexW2301984989

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.