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How payment reform could help the U.S. reduce its high C-section rate

America’s shameful maternity mortality rate is closely associated with its high rate of Cesarean-section deliveries. Hospitals, physicians and mothers themselves share the blame for the high C-section rate, but employers, payers and multistakeholder state-specific initiatives may be the solution.

Thus, journalists who write for business or clinician audiences can find some good stories in efforts at payment reform for maternity care. "Childbirth and newborn care is the largest or second largest (after heart care) category of hospital expenditures, and it’s by far the largest category of hospital expenditures for state Medicaid programs, so even small improvements can result in large savings,” according to the Center for Healthcare Quality & Payment Reform.

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