Study: NCT05678699

Intervention type: BEHAVIORAL
Group type: OTHER
Intervention: Medicaid healthcare quality interventions (equity payment and obstetric bundled payment)
Description: This study has two components, with the first component being examined in Aim 1 and the first and second components being examine in aim 2.~1) health equity incentive payment program makes available $26 million annually in Medicaid managed care organization (MCO) payments to plans that improve access to timely prenatal care and well-child visits among Black beneficiaries. The equity-focused obstetric care bundled payment model provides incentives for clinicians to improve on a wide range of pregnancy health outcomes, and specifically incentivizes improvements among Black beneficiaries

Intervention type: BEHAVIORAL
Group type: OTHER
Intervention: Medicaid healthcare quality interventions (equity payment and obstetric bundled payment)
Description: This study has two components, with the first component being examined in Aim 1 and the first and second components being examine in aim 2.~1) health equity incentive payment program makes available $26 million annually in Medicaid managed care organization (MCO) payments to plans that improve access to timely prenatal care and well-child visits among Black beneficiaries. The equity-focused obstetric care bundled payment model provides incentives for clinicians to improve on a wide range of pregnancy health outcomes, and specifically incentivizes improvements among Black beneficiaries

Intervention type: BEHAVIORAL
Group type: OTHER
Intervention: Doula
Description: This study has two components, with the first component being examined in Aim 1 and the first and second components being examine in aim 2.~1. health equity incentive payment program makes available $26 million annually in Medicaid managed care organization (MCO) payments to plans that improve access to timely prenatal care and well-child visits among Black beneficiaries. The equity-focused obstetric care bundled payment model provides incentives for clinicians to improve on a wide range of pregnancy health outcomes, and specifically incentivizes improvements among Black beneficiaries.~2. care intervention by coverage of doula services for all Medicaid beneficiaries across Pennsylvania.

Intervention type: BEHAVIORAL
Group type: OTHER
Intervention: Doula
Description: This study has two components, with the first component being examined in Aim 1 and the first and second components being examine in aim 2.~1. health equity incentive payment program makes available $26 million annually in Medicaid managed care organization (MCO) payments to plans that improve access to timely prenatal care and well-child visits among Black beneficiaries. The equity-focused obstetric care bundled payment model provides incentives for clinicians to improve on a wide range of pregnancy health outcomes, and specifically incentivizes improvements among Black beneficiaries.~2. care intervention by coverage of doula services for all Medicaid beneficiaries across Pennsylvania.

Intervention type: BEHAVIORAL
Group type: OTHER
Intervention: Standard Care
Description: Participants receive standard care without quality interventions or doula care

Intervention type: BEHAVIORAL
Group type: OTHER
Intervention: Standard Care
Description: Participants receive standard care without quality interventions or doula care

Intervention type: BEHAVIORAL
Group type: OTHER
Intervention: Standard Care
Description: Participants receive standard care without quality interventions or doula care