Evidence map›Paper›PMID 40538670›Full record

ArticleWomen's health reports (New Rochelle, N.Y.)2025

Opportunities and Challenges to Improve Postpartum Care: Payors' and Purchasers' Perspectives in California.

Lindsay Parham, Renee Clarke, MariaDelSol De Ornelas, Sabrina Li, Sylvia Guendelman

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Women's health reports (New Rochelle, N.Y.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Lindsay ParhamSchool of Public Health, The Wallace Center for Maternal, Child, and Adolescent Health at the University of California, Berkeley, California, USA.
Renee ClarkeSchool of Public Health, The Wallace Center for Maternal, Child, and Adolescent Health at the University of California, Berkeley, California, USA.
MariaDelSol De OrnelasSchool of Public Health, The Wallace Center for Maternal, Child, and Adolescent Health at the University of California, Berkeley, California, USA.
Sabrina LiSchool of Public Health, The Wallace Center for Maternal, Child, and Adolescent Health at the University of California, Berkeley, California, USA.
Sylvia GuendelmanSchool of Public Health, The Wallace Center for Maternal, Child, and Adolescent Health at the University of California, Berkeley, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: U.S. maternal mortality rates are two to three times higher than other high-income countries, with most deaths occurring postpartum. Fragmented care, exacerbated by health insurance gaps and workforce shortages, underscores systemic deficiencies. Although patients' and clinicians' perspectives are well-documented, little is known about payors' and purchasers' perspectives. Given their influence in coverage decisions, payment rates, and service reimbursement, the objective was to explore their perspectives and identify challenges and opportunities in improving postpartum care in California, currently engaged in reshaping maternal health pathways. Methods: We conducted a qualitative study using semi-structured interviews with high-level administrators from major California health insurance providers and purchasers between June and October 2023. Participants, recruited through professional connections, were selected through purposive sampling based on their involvement in maternal and child health coverage decisions. A hybrid inductive-deductive approach was employed to identify major themes. Results: Participants ( Conclusions: Insurance payors and purchasers identified postpartum care barriers and suggested solutions well-supported by the literature. These solutions-including reimagining global bundle payment models, updating Healthcare Effectiveness Data and Information Set measures, and promoting dyadic models-could address barriers, improve outcomes, and inform California's ongoing maternal health transformation and those happening around the United States.

Indexed as

insurancepayorspostpartumpostpartum carepurchasersreimbursement

Identifiers

PMID40538670
PMCPMC12177326

What OpenQuestion holds

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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.