CMS targets maternal health, extends postpartum coverage

Dive Temporary:

  • The CMS on Tuesday launched a maternal well being motion plan geared toward bettering outcomes and lowering disparities throughout being pregnant, childbirth and the postpartum interval. Amongst its objectives is defending sufferers’ entry to emergency care throughout states, together with abortion care when it’s the needed stabilizing therapy, the CMS mentioned.
  • The company additionally accepted an extension of postpartum protection in Connecticut, Kansas and Massachusetts by way of Medicaid and the Kids’s Well being Insurance coverage Program that provides as much as 19,000 individuals a yr who could have entry to look after a full yr after being pregnant throughout the three states.
  • CMS Administrator Chiquita Brooks-LaSure inspired healthcare suppliers, insurance coverage firms and state officers to contemplate commitments the personal sector could make to enhance maternal well being outcomes.

Dive Perception:

The CMS mentioned that in mild of the Supreme Court docket’s resolution to overturn Roe v. Wade, it’s targeted on guaranteeing entry to the total vary of reproductive healthcare companies, together with IUDs, emergency and different types of contraception and abortion care throughout the company’s authorized authority in circumstances of rape, incest or the place the pregnant particular person’s life is in peril.

Earlier this month, the HHS issued steering clarifying that medical doctors nationwide are required to offer lifesaving abortions in emergency conditions below the Emergency Medical Therapy and Labor Act. Texas has challenged the steering in court docket.

The CMS’ plan to enhance maternity care entry and high quality will embrace technical help for states to increase postpartum protection, insurance policies to help a various supplier workforce and different equity-focused initiatives, the company mentioned.

The American Rescue Plan Act of 2021 made attainable a possibility for states to offer steady Medicaid and CHIP protection for a full yr after being pregnant, up from 60 days previous to the ARP. CMS has already accepted 19 proposals to increase protection, and 9 extra states have submitted proposals for approval.

The most recent protection extensions add as much as 4,000 individuals yearly in Connecticut, 7,000 in Kansas and eight,000 in Massachusetts. If all states adopted the choice, as many as 720,000 individuals a yr throughout the U.S. might be assured Medicaid and CHIP protection for 12 months after being pregnant, the company mentioned.

One other key function of the maternal well being technique is a proposed “birthing-friendly” hospital designation, which the CMS outlined within the 2023 Inpatient and Lengthy-term Care Hospital Potential Fee System proposed rule. The designation can be displayed on a CMS web site to offer info on hospitals which have demonstrated a dedication to implementing greatest practices that advance high quality, security and fairness for pregnant and postpartum sufferers.

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