Evidence map›Paper›PMID 39807028›Full record

ArticleHealth services research2025

Preventing Infant Mortality Through Medicaid-Administered Prenatal Care Coordination: Evidence From Wisconsin.

David C Mallinson, Yamikani B Nkhoma-Mussa, Kate H Gillespie, Roger L Brown

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Article in Health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

David C MallinsonDepartment of Family Medicine and Community Health, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA.ORCID https://orcid.org/0000-0003-1069-6040
Yamikani B Nkhoma-MussaSchool of Nursing, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Kate H GillespieSchool of Nursing, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Roger L BrownSchool of Nursing, University of Wisconsin-Madison, Madison, Wisconsin, USA.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Prenatal Opioid Exposure: Birth, health, socioeconomic, and educational outcomes of mothers and their childrenR01HD102125 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI BERGER, LAWRENCE M, EHRENTHAL, DEBORAH BETH · 2020 to 2024
$2.2M
Eunice Kennedy Shriver National Institute of Child Health and Human Development R01HD102125HRSA HHS T32HP10010NCATS NIH HHS 1UL1TR002373NCATS NIH HHS UL1 TR002373NICHD NIH HHS R01 HD102125Wisconsin Partnership Program WPP 5129
6 · The paper itself

Abstract

objectiveTo estimate associations between Wisconsin Medicaid's Prenatal Care Coordination (PNCC) program and infant mortality. DATA SOURCES AND STUDY

settingWe analyzed birth records, Medicaid claims, and infant death records for all resident and in-state Medicaid-paid live deliveries during 2010-2018. STUDY

designWe measured PNCC exposure during pregnancy dichotomously (none; any) and categorically (none; assessment/care plan only; service receipt). Our outcome was infant mortality (death at age < 365 days). Adjusted binary logit regressions and propensity score weighted regressions tested associations between PNCC receipt and infant mortality, and we estimated probabilities and average marginal effects of infant mortality. We also executed regressions with interactions on maternal race/ethnicity to determine if associations varied across Black non-Hispanic (NH), Hispanic, and White NH births. DATA COLLECTION/EXTRACTION

methodsOur sample consisted of 231,540 Medicaid-paid births during 2010-2018. PNCC is only available to pregnant Medicaid beneficiaries. PRINCIPAL

findingsInfant mortality was lower among PNCC assessment/care plan only births (5.0 deaths/1000 births) and PNCC service receipt births (6.1 deaths/1000 births) relative to non-PNCC births (6.8 deaths/1000 births). This pattern was consistent in Black NH and Hispanic subgroups, but infant mortality did not vary by PNCC among White NH deliveries. Overall, adjusted binary logit regressions indicated that the probabilities of infant mortality were 0.70% for no PNCC and 0.53% for any PNCC, yielding an average marginal effect of -0.17 percentage points (95% confidence interval -0.22 percentage points, -0.11 percentage points). This association did not vary by PNCC exposure level. PNCC-infant mortality associations were significantly stronger for Black NH births relative to White NH births. Results were consistent in propensity score weighted regressions.

conclusionsPNCC during pregnancy is associated with a lower probability of infant mortality, particularly in Black NH families. The benefit of PNCC on infant mortality may not depend on receiving services beyond care planning.

Indexed as

Infant MortalityMedicaidPrenatal CareAdultBlack or African AmericanFemaleHispanic or LatinoHumansInfantInfant, NewbornPregnancyUnited StatesWhiteWisconsinmaternal and perinatal care and outcomesMedicaidobstetrics/gynecologypediatrics

Identifiers

PMID39807028
PMCPMC12047700

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