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| Name | Class |
|---|---|
| Driscoll Health Plan | UNKNOWN |
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With funding from the Episcopal Health Foundation, the researchers will conduct a secondary data analysis to evaluate the impact of Driscoll Health Plan's Nurture program for pregnant members using claims data.
This record describes a quality improvement program (called "Nurture") piloted by Driscoll Health Plan, which included nutrition education and food purchase support offered to a subset of pregnant women aged 30 years and above and covered by the Medicaid Managed Care Organization (MCO) plan in their "STAR" and "CHIP" programs during October 2022 and July 2023.
Factor Health lab at Dell Medical School at the University of Texas at Austin will do a secondary data analysis to evaluate the impact of DHP's program.
Driscoll Health Plan (DHP) is a non-profit, community-based health insurance plan that provides coverage to South Texas and the Rio Grande Valley communities. Their insurance products include STAR Medicaid, STAR Kids, CHIP, and CHIP Perinatal.
With input from Factor Health lab at Dell Medical School, DHP introduced the Nurture program for its members as a quality improvement initiative, designed to expand members' access to nutrition education and food purchase support to improve health and pregnancy outcomes.
Nurture included up to 8 packages mailed every four weeks until the member reaches the end of pregnancy. Each package included USD $40 in the form of gift cards to a large-chain grocery store, a healthy eating information sheet selected from Brighter Bites (https://brighterbites.org/), a set of three recipes, and nutrition-related Frequently Asked Questions during pregnancy (in four out of the eight packages). Members also received two 30-minute nutritional consultations over the phone.
Members had the flexibility to opt out of the program at any time and discontinue receiving packages. Consultations were optional. If they opted out, they continued to receive the DHP benefits as part of their regular coverage.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nurture + regular benefits (exposed group) | Experimental |
|
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| Regular benefits (comparison group) | Active Comparator | Regular benefits Includes regular healthcare services offered as part of the health plan coverage with Medicaid/CHIP. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nurture program | Behavioral |
|
| Measure | Description | Time Frame |
|---|---|---|
| Composite outcome 1: Adverse health events during pregnancy | Composite includes health claims (paid or non-paid) with codes related to:
| At pregnancy delivery |
| Composite outcome 2: Adverse health events at birth and newborn-related | Composite includes health claims (paid or non-paid) with codes related to:
| At pregnancy delivery |
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| Measure | Description | Time Frame |
|---|---|---|
| Emergency Department visits | Health claims with codes related to visits to emergency department. | At pregnancy delivery |
| Cost (outpatient) | Cost of outpatient services (e.g., primary care visits, screening) as available in paid health claims. |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Driscoll Health Plan | Corpus Christi | Texas | 78415 | United States |
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| Label | URL |
|---|---|
| Source of nutrition education materials included in the Nurture packages mailed to participants. | View source |
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No data will be shared with other researchers.
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jan 24, 2024 | Feb 12, 2024 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D037921 | Gift Giving |
| ID | Term |
|---|---|
| D012919 | Social Behavior |
| D001519 | Behavior |
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From the eligible population, DHP randomly selected a subset of approximately 500 women during the pilot period, from which approximately 200 were in the program, the "exposed group." The women who were covered during the same period but were not selected were not exposed to the program and will compose the "comparison group."
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| Regular benefits | Other | Includes regular healthcare services offered as part of the health plan coverage with Medicaid/CHIP. |
|
| At pregnancy delivery |
| Cost (inpatient) | Cost of inpatient services (e.g., delivery) as available in paid health claims. | At pregnancy delivery |
| Cost (pharmacy/medication) | Cost of medication as available in paid health claims. | At pregnancy delivery |
| Cost (total) | Total cost of care as available in paid health claims. | At pregnancy delivery |
| Delivery mode (vaginal, C-section) | Health claims with codes related to mode of delivery. | At pregnancy delivery |
| Birthweight | Requested from hospital's electronic health records (as available) | At pregnancy delivery |
| Prenatal visits | Number of prenatal visits during study pregnancy | At pregnancy delivery |
| Gift card usage | Binary response was gift card fully used | 30 days after inactive from program |
| Nutritional consults attended | Categorical description of nutritional consults attended, both/one/none | At pregnancy delivery |