This study aims to understand how changes in Medicaid policies can improve the health of pregnant and new mothers, especially focusing on severe maternal morbidity (SMM), which refers to unexpected and serious health problems during or after childbirth. Researchers are looking at two main interventions: Medicaid healthcare quality interventions (like equity payment and obstetric bundled payment programs) and doula care. Some participants will receive standard care without these interventions. The study wants to see if these interventions, alone or together, can reduce SMM. It also wants to hear about the experiences of Medicaid beneficiaries, doulas, and Medicaid administrators. To join, you must be a pregnant or postpartum Medicaid beneficiary in the US. The study is looking for a very large number of participants, but its current status is unclear.

Study design

This interventional study is designed to understand the effects of different Medicaid policies and doula care on maternal health. It plans to include up to 10,000,000 participants.

What's involved

Participants will be asked to describe their experiences with structural interventions and focused Medicaid policies.

Compensation

Not stated in the trial record.

Follow-up

Severe maternal morbidity (SMM) will be measured from 20 weeks gestation through 42 days postpartum.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.