Data show that state paid leave programs help to increase labor force participation among women, improve economic stability for families, strengthen businesses and grow state economies WASHINGTON, D.C. – February 5, 2024 – New analysis from the National...
For the first time, our report assesses the actual impact of maternity care episode payment and maternity care home programs and provides recommendations for improving alternative payment models (APMs).
Key terms for health equity-centered payment reform
We need to change how (and for what) providers are paid, in order to support and incentivize equitable, high-quality primary care.
In a political landscape that moves the question of abortion access to the states, NPWF demonstrates the connection between the representation of women and women of color in state legislatures and better policy outcomes for those seeking abortions.
The United States has become even more dangerous for Black people to give birth. Regardless of socioeconomic status, Black women and birthing individualsNOTE: We recognize and respect that pregnant, birthing, postpartum, and parenting people have a range of gender...
The reproductive health of Black women has long been compromised by interpersonal, institutional, and structural racism. In addition to contending with social and economic drivers of poor health that undermine Black Americans, they have experienced discriminatory health care practices and abuse from slavery to the present.
The Dobbs decision has unique impacts on Latina communities.
La decisión de anular Roe v. Wade ha perjudicado a millones de personas en todo el país, impidiendo su acceso al aborto, alterando su futuro económico y poniendo en riesgo su salud e incluso sus vidas. La decisión de Dobbs tiene impactos únicos en las comunidades Latinas.
The foundation of how health care is paid for is being rewritten right now. Government decision-makers and health care industry leaders from across the country are working to shift health care payment from paying for volume, called fee for service (FFS), to paying for value, called value-based payment (VBP).
Learning Our Lesson: COVID-19 Emergency Paid Sick Leave Showed the Value of a Robust, Permanent Paid Leave Policy
This brief reviews the research and evidence about workers’ and employers’ need for and use of emergency sick and family leave, implementation and enforcement, and the costs and benefits of the program.
Dobbs v. Jackson Women’s Health Organization is a decision that is about access to essential healthcare, but also much more than that. It is, at its core, a decision — deeply rooted in sexism and racism — about the role women and people who can become pregnant play in our society.
Any pregnant person may experience pregnancy discrimination. But because of the ways that racism, sexism and ableism have structured the United States economy, pregnant workers’ need for accommodations — and the harms they may face if unable to access accommodations — can differ significantly. Women and people of color are especially likely to be in jobs that are higher risk and lack adequate health and safety protections.
A robust body of research has shown that this type of doula support is associated with better childbirth experiences and healthier outcomes for both parents and babies. Today, doula support is available across a variety of reproductive health experiences, including abortion, miscarriage, stillbirth, and fertility treatment, as well as in other life course settings such as pediatric care, preventive health care, critical care, and palliative or end-of-life care
This report outlines the evidence that supports the unique value of doula support across different communities, the safety and effectiveness of doula support in improving maternal and infant outcomes, the interest of birthing women and people in use of doula support, and the current availability of, and access to, doula services in the United States.
The community-centered Yiya Vi Kagingdi Doula Project was created in response to a survey of women in the six Tewa-speaking pueblos and as one approach to mitigate violence against women, children, and Mother Earth. The program supports birthing people and their families with about three prenatal home visits, continuous support while giving birth, about three postpartum home visits, and lactation support, as well as remote support, all within a birth equity framework.
Open Arms Perinatal Services is an excellent example of how community-based doulas that provide an extended range of prenatal to postpartum care can dramatically improve the health of mothers and babies.
Analysis showing connections between the lack of abortion access, health care and workplace equity
The Pregnant Workers Fairness Act (PWFA) will ensure that employers provide reasonable accommodations to pregnant employees and that the workplace is an environment where needed accommodations are routinely expected and provided.
The Roots Community Birth Center demonstrates the exceptional value of community-based and -led forms of the birth center model for communities disadvantaged by structural racism, intergenerational underinvestment, and other forms of discrimination.
Research shows that care provided in community birth settings can make a concrete difference in improving maternity care quality and producing better outcomes, including for People of Color. Care in these settings that is led by Black, Indigenous, People of Color is a crucial approach for meeting the needs of communities affected by structural racism and other forms of discrimination. This report outlines the evidence that supports the unique value of community birth settings across different communities.