Maternity care CDA overview
care delivery area (CDA) is an innovative value-based payment (VBP) arrangement. See the
VBP Roadmap for Coordinated Care Organizations.
Maternity care is a significant opportunity for improvements in quality and cost in Oregon’s Medicaid program. Nearly half of all births in the state are covered by the Oregon Health Plan (Medicaid).
The maternity care CDA fosters innovative pilot VBP arrangements for providers across the spectrum of prenatal and postpartum care for a mother and their baby. Maternity care CDA pilots should be developed to provide comprehensive, integrated maternity care from “womb to crib” including, but not limited to, such services as:
- Screening for domestic violence, substance abuse, and depression/behavioral health concerns;
- Patient education;
- Breastfeeding support; and
- Doula care to support the health and well-being of the baby and family.
VBP and Maternity Care: What Have We Learned So Far?
(OHA and Health Management Associates) - This provider-focused webinar reviews emerging models of maternity care to address SDOH and racial disparities and the VBP reform efforts to support them. The webinar includes approaches that have been implemented in Oregon and nationally, and their outcomes, challenges and lessons learned.
Aligning Value-Based Payment with the CenteringPregnancy Group Prenatal Model: Strategies to Sustain a Successful Model of Prenatal Care
Rodin, D. & Kirkegaard, M., Centering Healthcare Institute
- Reviews new opportunities to promote improved outcomes and lower costs in maternity care though the use of VBP strategies.
Key points: Demonstrates how the CenteringPregnancy model can be an effective and financially sustainable model of maternity care that meets the goals of VBP contracts.
Maternity Care Value Based Payment Arrangement
New York Department of Health
- An overview of NY State's Medicaid maternity VBP arrangement.
Key points: Maternity VBP example that includes components of care, the underlying episodes of care, and the categories of measures recommended for New York State.
Maternity Episode Payment Models
Health Care Payment Learning and Action Network