I am not an MD but came across some interesting statistics: In the US, the #1 hospitalization reason is pregnancy. In addition, we spend on avg $120bn in newborn and maternal care (specifically $2bn for a high risk condition called preeclampsia!). The outcome in terms of maternal health is also lagging behind other developed countries (better for baby).
So I am wondering, why don’t we see more value-based care model in maternal care? For one, the stakes are high. For another, the episode is well-defined (pregnancy prenatal to postpartum). Last, the seems to be low hanging fruits (reduce C-section). And I’m not talking about bundle payment. The kind of value-based care would be global risk: you get x amount of dollars to take care of all the expenses related to pregnancy from hospital/ICU/NICU stays to surgery.
I’m sure things are MUCH more complex in reality. Can any OBGYN doctors educate me on why this is so?
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