Home birth and short-stay deliveryLessons in health care financing for providers of health care for women

Charges for Maternity Services: Associations With Provider Type and Payer Source in a University Teaching Hospital

“…The finding of lower mean charges in the CNM group has been observed and documented at length both in this study and others (21,23,28); and this finding persists after controlling for risk level. The lower charges seem to be closely associated with differences in the processes of care offered by CNMs and obstetricians (18).…”

“…Strategies developed by insurers to reduce or contain costs to the third party payer include substitution of generic drugs, denial of “experimental” therapies, and larger co‐payments for accessing providers outside the insurance plan. Payers of health services may also influence the location of services by offering differential rates of payment for inpatient and outpatient services, or by only paying for services performed in a specific institution or geographic location (20,21). In maternity inpatient care, the place of service for the same procedure may differ.…”

Nurse‐Midwives' Experiences with Planned Home Birth: Impact on Attitudes and Practice

“…Public health care evaluations note safety, costeffectiveness, and improved resource allocation when normal birth occurs outside the hospital (1)(2)(3)(4)(5)(6)(7)(8)(9). Reports of demand for, and maternal response to, home birth indicate sustained public interest and high client satisfaction (10)(11)(12)(13)(14)(15)(16)(17)(18).…”