Cov­ered Cal­i­for­nia to ex­clude hos­pi­tals with high C-sec­tion rates

Modern Healthcare - - REGIONAL NEWS - —Maria Castel­lucci

Cov­ered Cal­i­for­nia, the state’s in­surance ex­change, will ex­clude hos­pi­tals with high rates of C-sec­tions in an ef­fort to re­duce the num­ber of med­i­cally un­nec­es­sary ce­sarean births, which can be costly and carry higher risks for mother and baby.

Be­gin­ning in 2019, Cov­ered Cal­i­for­nia will re­quire in­sur­ers on its ex­change to ex­clude hos­pi­tals with a C-sec­tion rate above 23.9%. In­sur­ers will have to doc­u­ment a ra­tio­nale for do­ing busi­ness with hos­pi­tals that carry a higher rate.

The ef­fort cor­re­lates with the fed­eral govern­ment’s goal to trim the country’s C-sec­tion rate to 23.9% within the next few years. In 2014, 32.2% of U.S. births were C-sec­tions, ac­cord­ing to the Cen­ters for Dis­ease Con­trol and Pre­ven­tion.

Cal­i­for­nia’s rates var­ied from 12% to 70% at hos­pi­tals across the state in 2014.

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