From Childbirth Connection

The Cost of Having a Baby in the United States

Maureen P. Corry, MPH

Disclosures

May 09, 2013

In This Article

Phase of Care Analyses

When examined by phase of care -- prenatal, the intrapartum hospital stay for both women and newborns, and the postpartum and newborn care provided after birth hospitalization discharge, 2010 payments were heavily concentrated in the intrapartum hospital stay (Figures 5 and 6). Our figures slightly overestimate payments for the intrapartum phase and slightly underestimate payments for care after discharge as modest newborn payments for care after discharge are included in the intrapartum phase. Commercially insured intrapartum care involved 81% of maternal-newborn payments in vaginal births and 86% of maternal-newborn payments in cesarean births. In Medicaid, intrapartum payments were 70% of payments for vaginal births and 76% of payments for cesarean births.

Figure 5.

Average total maternal-newborn health care payments by phase of care among commercial beneficiaries with vaginal and cesarean births, 2010.
Note: Commercial results are weighted to reflect the national employer-sponsored insurance population. Costs include payments for maternal prenatal, childbirth, and postpartum care and newborn care from birth through three months. Due to rounding, the sum of average payments across categories may not add up to exactly the total average allowed payment.

Figure 6.

Average total maternal-newborn health care payments by phase of care among Medicaid beneficiaries with vaginal and cesarean births, 2010.
Note: Because the Medicaid database is comprised of a small convenience sample of 7 states and 5 Medicaid managed care plans, the results are not weighted to the national Medicaid population. Costs include payments for maternal prenatal, childbirth, and 3-month postpartum care, and newborn care from birth through three months.

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