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RECRUITINGNA

The Effects of Medicaid Policy Interventions on Racial Equity in Severe Maternal Morbidity

NCT05678699•University of Pittsburgh

Summary

The goal of this study is to learn about the effects of structural inventions, such as equity-focused Medicaid polices, on severe maternal morbidity (SMM) and mortality and maternal health. The main questions it aims to answer are: 1. What is the effect of Medicaid healthcare quality interventions on SMM? 2. What is the effect of Medicaid healthcare quality interventions + doula care? 3. What are Medicaid beneficiaries' experiences in receiving services and the potential impact of integration of doula services and equity practices? Participants will be asked to describe experiences as a result of structural interventions and focused Medicaid policies.

Eligibility

Age

All ages

Sex

ALL

Healthy Volunteers

Yes

Inclusion Criteria

•Pregnant and postpartum Medicaid beneficiaries across the US
•Qualitative:
•Medicaid beneficiaries who self-identify as Black and/or live in PA Health Equity Zones
•Doulas who provide care to Medicaid beneficiaries in Pennsylvania
•Medicaid Managed Care Organization (MCO) administrators in Pennsylvania. Severe maternal morbidity and mortality outcomes will be assessed in healthcare records and for these quantitative outcomes, patients will not be recruited individually

Exclusion Criteria

•\-

Locations (1)

University of Pittsburgh School of Public Health

Pittsburgh, Pennsylvania, United States

Key Dates

Start Date

January 3, 2023

Primary Completion Date

June 1, 2027

Completion Date

June 1, 2027

Last Updated

July 22, 2025

Enrollment

10,000,000

ESTIMATED participants

Conditions

Severe Maternal MorbidityMaternal Death

Interventions

Medicaid healthcare quality interventions (equity payment and obstetric bundled payment)

BEHAVIORAL

Doula

BEHAVIORAL

Standard Care

BEHAVIORAL

Defining Causes of Deaths in South and Southeast Asia

NCT04595656

Cause of MortalityCause of Neonatal Death+3 more

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UNKNOWN

Critical Delays in Cardiopulmonary Resuscitation During Simulated Obstetric Crisis: a Prospective Observational Study.

NCT04050631

Maternal Death During Childbirth

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Data Source & Attribution

This clinical trial information is sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

ClinicalTrials.gov last update: July 22, 2025Data synced to Clareo: March 29, 2026

Modifications: This data has been reformatted for display purposes. Eligibility criteria have been parsed into inclusion/exclusion sections. Location data has been geocoded to enable distance-based search. For the authoritative and most current information, please visit ClinicalTrials.gov.

Neither the United States Government nor Clareo Health make any warranties regarding the data. Check ClinicalTrials.gov frequently for updates.

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The Effects of Medicaid Policy Interventions on Racial Equity in Severe Maternal Morbidity

Inclusion Criteria

Exclusion Criteria

Defining Causes of Deaths in South and Southeast Asia

Critical Delays in Cardiopulmonary Resuscitation During Simulated Obstetric Crisis: a Prospective Observational Study.

Incentives for Postnatal Care Demand

Impact of a Smartphone Intervention on Tanzanian Women's Childbirth Location