Prevention that works
Ensuring access to health care for low-income women and children has been an ongoing concern for state and federal officials. The Bureau for MEdical Services (Medicaid) and Office of Maternal, Child and Family Health (OMCFH) have worked collaboratively to develop special initiative that extend support services to women and infants at risk of adverse health outcomes. This partnership has not only expanded the state's capacity to finance health care for women and children, but has also strengthened the delivery of care by establishing care protocols, recruiting medical providors and developing supportive services such as case management and nutrition counseling which contribute to improved patient well-being.
The RFTS Project more than pays for itself, given the multitude of outcomes the program affects. Net reductions in public costs begin to accrue by the time the children reach four years of age. In similar program models, there is evidence that the economic returns/benefits from investing in early intervention programs are larger when programs are effectively targeted. The RAND Corporation has independently estimated that the return for each dollar invested is $5.70.
Facts
Adequate prenatal care utilization increased in the "prenatal participant" group versus the "medicaid beneficiaries not referred to RFTS" group.
Pregnant women who are "medicaid beneficiaries not referred to RFTS" had statistically significantly higher low birth weight and preterm delivery rates.
The RFTS Project demonstrates:
- Increased number of women choosing to participate.
- Lower rate of infant admission to NICU.
- Higher rate of breast-feeding infants.
- Lower rate of C-sections.
- Higher rate for linking infants with high Birth Scores to a well childcare service.
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