One of the problems with the fee-for-service payment system is that it’s a flawed method of payment for sick patients but it may be ever more flawed as a method of payment for those who are healthy. This point is one Katy B. Kozhimannil, Ph.D., made recently in an article for the American Journal of Managed Care.
An associate professor in the Division of Health Policy and Management at the University of Minnesota School of Public Health, Kozhimannil wrote that payment models should compensate teams of physicians, midwives, nurses and other providers for delivering evidence-based services during pregnancy, childbirth and the postpartum period. These payment systems also should be based on the health risks of the mother and baby, she added. Continue reading
In an important series last year, ProPublica partnered with NPR to report on maternal deaths in the United States. In the ”Lost Mothers, Maternal Care and Preventable Death” series, ProPublica reporter Nina Martin, engagement reporter Adriana Gallardo and NPR special correspondent Renee Montagne, reported that for the past two decades maternal mortality has declined in other affluent countries while the rate of maternal deaths has been rising in the United States. Here’s a link to NPR’s companion site, “Lost Mothers: Maternal Mortality in the United States.”
Today, 700 to 900 American women die during pregnancy, childbirth and postpartum, the highest rate in the developed world, they reported. Continue reading
Issues surrounding abortion never really leave the news. A reporter could build an entire beat around covering abortion issues and never be without a story from one day to the next.
That said, recently passed or proposed legislation around the country have thrust abortion to the top of the news once again, mainly because their restrictions push against what has been found to be constitutional by the Supreme Court. Continue reading