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Midwives, Patient Centered Care and ...

Johnson, Allison M.

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Midwives, Patient Centered Care and Health Reform: An Analysis of Private Payer Claims Data.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Midwives, Patient Centered Care and Health Reform: An Analysis of Private Payer Claims Data./
Author:	Johnson, Allison M.
Description:	45 p.
Notes:	Source: Masters Abstracts International, Volume: 51-05.
Contained By:	Masters Abstracts International51-05(E).
Subject:	Health Sciences, Obstetrics and Gynecology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=1536158
ISBN:	9781303038624

Midwives, Patient Centered Care and Health Reform: An Analysis of Private Payer Claims Data.
Johnson, Allison M.

Midwives, Patient Centered Care and Health Reform: An Analysis of Private Payer Claims Data. - 45 p.

Source: Masters Abstracts International, Volume: 51-05.

Thesis (M.P.P.)--Georgetown University, 2013.

As health reform proceeds, provider payment structures will undergo potentially significant changes. One area particularly ripe for investigation is maternity care and the role Certified Nurse-Midwives (CNMs) may play in improving outcomes and reducing costs. The current effort examines a national collection of private payer claims data for differences in reimbursement rates between certified nurse-midwives and obstetricians. Through the use of two different dependent variables and quartile regressions I find unexpected results for payments between CNMs and obstetricians. When estimating the reimbursement amount for a single billing code (the "global" code that covers prenatal, delivery and postpartum care for uncomplicated vaginal births) midwives are predicted to collect more than their physician counterparts across all quartiles. These findings are statistically significant at the .01 level. However, in the second model that measures all claims submitted for a particular delivery obstetricians are predicted to collect more than midwives in the sample. Future research may require investigating potential self-selection biases inherent in the provider choice and what policy tools may be available to encourage patients to select lower-cost providers that achieve similar or better outcomes.

ISBN: 9781303038624Subjects--Topical Terms:

1020690
Health Sciences, Obstetrics and Gynecology.

Midwives, Patient Centered Care and Health Reform: An Analysis of Private Payer Claims Data.
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100 1 $a Johnson, Allison M. $3 2091893
245 1 0 $a Midwives, Patient Centered Care and Health Reform: An Analysis of Private Payer Claims Data.
300 $a 45 p.
500 $a Source: Masters Abstracts International, Volume: 51-05.
500 $a Adviser: William Encinosa.
502 $a Thesis (M.P.P.)--Georgetown University, 2013.
520 $a As health reform proceeds, provider payment structures will undergo potentially significant changes. One area particularly ripe for investigation is maternity care and the role Certified Nurse-Midwives (CNMs) may play in improving outcomes and reducing costs. The current effort examines a national collection of private payer claims data for differences in reimbursement rates between certified nurse-midwives and obstetricians. Through the use of two different dependent variables and quartile regressions I find unexpected results for payments between CNMs and obstetricians. When estimating the reimbursement amount for a single billing code (the "global" code that covers prenatal, delivery and postpartum care for uncomplicated vaginal births) midwives are predicted to collect more than their physician counterparts across all quartiles. These findings are statistically significant at the .01 level. However, in the second model that measures all claims submitted for a particular delivery obstetricians are predicted to collect more than midwives in the sample. Future research may require investigating potential self-selection biases inherent in the provider choice and what policy tools may be available to encourage patients to select lower-cost providers that achieve similar or better outcomes.
590 $a School code: 0076.
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650 4 $a Sociology, Public and Social Welfare. $3 1017909
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773 0 $t Masters Abstracts International $g 51-05(E).
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