From research to impact: A whitepaper on advancing maternal health outcomes

Across the country, many pregnant and postpartum individuals, especially those in rural areas or facing socioeconomic challenges, experience difficulties accessing timely, comprehensive care. Declining access to rural obstetric services and access to health care are increasing maternal and infant health risks.

Federally Qualified Health Centers (FQHCs) are working to close the gap. These community-based providers deliver essential maternal and infant care, regardless of a patient’s ability to pay. Most FQHC patients are covered by Medicaid, and some are uninsured. These centers serve as a lifeline in communities where hospital obstetric units have closed, and where community and household conditions that impact health significantly impact health outcomes.

FQHCs are uniquely positioned to deliver whole-person care across the maternal health continuum. From prenatal visits and postpartum screenings to lactation support, behavioral health care and infant wellness checks, they are helping families navigate complex health systems and access the support they need. For patients living in maternal health deserts where there is a lack of maternity care, FQHCs may be the only consistent and culturally aligned care available.

At health centers across the country, timely prenatal care helps to reduce rates of preterm birth and low birth weight. Additionally, access to postpartum mental health screenings can identify depression and anxiety before they escalate. FQHC patients may even receive transportation to their delivery hospitals, be connected to doulas and midwives and obtain referrals to behavioral health services.

To remain effective, FQHCs require sustained policy support, adequate funding and the flexibility to expand collaborations and care models that reach people where they are. Recognizing the critical role FQHCs play for Medicaid members, UnitedHealthcare launched a multi-year collaboration with Advocates for Community Health (ACH) in 2023. As part of our joint efforts, ACH developed a new whitepaper, “Federally qualified health centers are central to addressing the U.S. maternal health crisis” which highlights the essential role of FQHCs in improving maternal health outcomes. The whitepaper offers a comprehensive look at the maternal health services FQHCs provide, the communities they serve and the growing challenges they face. It also presents tangible policy solutions, such as investing in telehealth access, expanding access to birth centers and midwives and increasing Medicaid reimbursement.

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