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Wed, 8 Feb 2006 13:35:11 EST |
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Dear Friends:
Thanks to all who post about their states individual practices.
Connecticut sounds much more forward thinking than Pennsylvania.
In the Philadelphia, PA area, the care for new moms and babies is
incomplete, to say the least. The agencies that get reimbursed by the insurance
companies receive $60 for a mother-baby visit; the agency keeps $20. The nurse
gets $40, which works out to about $10/hour when one factors in travel time
and paperwork in addition to the actual visit.
Only 4 insurance companies will pay for a LC visit postpartum; the
companies do not tell their subscribers that this service is available. The
mothers have to call their case manager and ask. Once in a while, a mother can
persist and get a second LC visit authorized.
There is no system in place that will reach every new mother; some
mothers are lucky with their insurance to get a well-mother/well-baby visit.
Others get nothing. There is no place that offers the service, unless a family
wants to pay for it themselves; a visit is so expensive for families that they
almost never buy one.
Two insurances will pay for 2 wellmother/wellbaby visits, which is
great for the dyad as the mom can learn how well her baby is growing.
Mothers and babies are at the bottom of the list; in July, yet another
hospital in PHiladelphia will close its maternity unit, as it is too expensive
to run and the reimbursement doesn't cover the expenses.
The Philadelphia area is but one small portion of the large state of
Pennsylvania; I don't know how things are in the rest of the state.
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct Faculty Union Institute and University
Film Reviews Editor, Journal of Human Lactation
www.breastfeedingalwaysbest.com
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