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

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:What is the effect of Medicaid healthcare quality interventions on SMM?What is the effect of Medicaid healthcare quality interventions + doula care?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.

Inclusion Criteria:Pregnant and postpartum Medicaid beneficiaries across the USQualitative:Medicaid beneficiaries who self-identify as Black and/or live in PA Health Equity ZonesDoulas who provide care to Medicaid beneficiaries in PennsylvaniaMedicaid 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 individuallyExclusion Criteria:-