HealthDay News — According to a study published in Health Affairs, implementation of a program denying payment to providers for unnecessary early elective delivery is associated with a reduction in the rate of early elective deliveries.

Heather Dahlen, PhD, from the Medica Research Institute in Minnetonka, Minnesota, and colleagues examined the impact of a policy implemented by Texas Medicaid in 2011 to deny payment to providers for early elective delivery. 

The authors compared the effect on clinical care practice and perinatal outcomes in Texas relative to comparison states.

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The researchers found that after the payment policy change, there was a reduction in early delivery rates by as much as 14% in Texas; for births that were affected by the policy, there were gains of almost five days in gestational age and 6 ounces in birthweight. 

The policy had a larger impact on early elective delivery for minority patients.

“Our findings suggest that even within states that have already begun voluntary efforts to reduce early elective delivery rates, Medicaid payment reform may lead to additional declines in these rates,” the authors write.


Dahlen HM, et al. “Texas Medicaid Payment Reform: Fewer Early Elective Deliveries And Increased Gestational Age And Birthweight”. Health Affairs. 2017;36(3): 460-467. doi: 10.1377/hlthaff.2016.0910

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