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Perinatal Consults Cost Effective in High-Risk Cases.
TORONTO -- Requiring women with high-risk pregnancies to have an early consultation with a maternal-fetal medicine specialist may end up saving money by reducing the rate of premature deliveries, according to one study.
"Some HMOs have a built-in incentive to discourage the referral of patients to tertiary care consultants, with the idea that this saves money. But our study suggests that this actually ends up costing money," Dr. Mark Evans said at the annual meeting of the Society for Gynecologic Investigation.
Dr. Evans, who is professor and chair of the department of ob.gyn. at MCP Hahnemann University, Philadelphia, outlined a study of 200 consecutive high-risk pregnancies in a small community that was served by two HMOs. One HMO required a mandatory maternal-fetal medicine consult and ultrasound exam by 20 weeks' gestation, while the second HMO left the decision for referral to the primary obstetrician.
The 128 patients served by the first HMO had a first visit with a specialist at a mean of 11 weeks' gestation, compared with 27.9 weeks among the 72 patients in the second HMO.
After removing diabetic patients from the equation and dividing the ...
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Source: HighBeam Research, Perinatal Consults Cost Effective in High-Risk Cases.