- Congress is considering new legislation to strengthen Medicaid support for maternity care programs delivered through telemedicine.
The Maximizing Outcomes for Moms through Medicaid Improvement and Enhancement of Services (MOMMIES) Act, introduced this week by U.S. Senators Cory Booker (D-NJ), Kirsten Gillibrand (D-NY), Tammy Baldwin (D-WI), Ben Cardin (D-MD), Richard Blumenthal (D-CT) and Kamala Harris (D-CA), aims to improve care for pregnant women covered by Medicaid, which accounts for about half of the nation’s pregnancies.
The bill contains a provision to study how state Medicaid programs are supporting telemedicine, including how connected care technologies improve access to care for underserved patients, an analysis of spending and cost savings, health outcomes and patient satisfaction, the type of services offered (including family planning), barriers to telehealth expansion and recommendations for legislative and administrative actions.
“As the rest of the world works to improve maternal health outcomes, skyrocketing maternal mortality rates here in
Other aspects of the bill call for extending Medicaid coverage for women after childbirth from 60 days to one year; ensuring that all pregnant and postpartum women have access to full Medicaid coverage; the establishment of the maternity care home demonstration project in 15 states; extending the Affordable Care Act’s primary care bump to ensure that Medicaid beneficiaries have access to primary care providers, including women’s health providers; and encouraging more access to doula (pregnancy support) services.
Healthcare providers, including health systems, public health programs and community health clinics, have been turning to telehealth and – in particular – mHealth technology to reach out to pregnant women and new parents. Through channels like mHealth apps, they offer on-demand support, links to information and resources and reminders on doctor’s appointments, vaccinations and other maternal and infant health milestones.
For instance, in just the past year:
- Researchers at the Worcester Polytechnic Institute and University of Massachusetts Medical School have developed an app – called Lifeline4Moms – for use as a resource for obstetricians and other care providers in identifying perinatal depression, which affects 14 percent of women and is considered the most common complication of pregnancy.
- The University of Alabama-Birmingham’s Division of Maternal-Fetal Medicine and the Alabama Department of Health are collaborating on a study to determine whether telemedicine can be used to improve outcomes for rural women who are pregnant and struggling with an opioid addiction.
- The Greensboro, N.C.-based Cone Health system has launched the Babyscripts Diabetes Program, using the popular consumer-facing Babyscripts app in a remote monitoring program targeting pregnant women in danger of developing gestational diabetes.
- And in Arizona, the Care1st Health Plan, part of the Florida-based WellCare Health Plan network, has rolled out the Pacify mobile app in a pilot program to expectant mothers and those who have had a baby within the past 12 months and who are Arizona Health Care Cost Containment System (AHCCCS) members.
Those efforts target a maternal mortality rate that has increased by 26 percent since the turn of the century, largely due to a lack of resources and access barriers for underserved women.
“With the rate of maternal mortality in the United States significantly increasing over the last three decades, Congress must act so that mothers and their newborns receive the care they need. Whether a mother lives or dies from complications during childbirth should not be determined by her zip code or income level,” Cardin added in the press release. “This bill will make crucial reforms to expand access to essential health care for low-income pregnant women, ensuring that we can join every other developed country in reducing the rate of women dying as a result of pregnancy and childbirth.”