By NextBestFitHigh maternal mortality and postpartum coverage gaps
U.S. maternal mortality is the highest among wealthy countries, with large racial gaps; Medicaid postpartum coverage historically ended at 60 days.
Who's affected
Who is hurt
- Pregnant and postpartum people and infants: High maternal mortality and postpartum coverage gaps especially harm Black women.
- Black, Hispanic, and Native communities: High maternal mortality and postpartum coverage gaps especially harm Black women.
Who gains while it lasts
None identified.
Under your mix of paths
Paths that fix or soften it
Using your saved plan. 0 paths picked.Edit all picks
Root causes
- Coverage gaps
- Maternity deserts
- Uneven quality
Related costs
Open questions
- Should coverage be continuous through pregnancy and the year after?
Solution paths (2)
Open a path for what it fixes, what it creates or worsens, who gains and who loses, precedents, and how it connects to other paths. See all paths as a decision tree.
Guarantee coverage for a year after birth with nurse home visits.
- +High maternal mortality and postpartum coverage gaps
- −Nursing and direct-care shortages and burnout
- −Solves only part of the problem
Require hemorrhage and hypertension protocols and review every death.
- +High maternal mortality and postpartum coverage gaps
- −Depends on other changes to work
- −Directs benefits or burdens imperfectly