Joanne Scharer

Licensed Direct Entry Midwives Adopt New Rules

The Lund Report
The rules, which took effect January 1, are intended to improve birth outcomes, and the relationship between the pregnant woman and the midwife
January 13, 2011 -- Licensed Direct Entry Midwives (LDMs) in Oregon have new rules to follow. After more than a year of reviewing regulatory requirements, the Board of Direct Entry Midwifery adopted important revisions to Oregon Administrative Rules

Congress Fails to Adopt Maternity Care Quality Act

The Lund Report
Yet U.S. women have a greater lifetime risk of pregnancy-related complications than those in 40 other countries
January 5, 2011 -- Despite our nation’s wealth and advances in healthcare technology, women in the United States have a greater lifetime risk of dying of pregnancy-related complications than women in 40 other countries, including every other industrialized nation.

PEBB Looks into High Risk Births

The Lund Report
The board, which represents state employees, could decide the role of licensed direct entry midwives on Sept. 21
September 16, 2010 -- Midwives are back in the hot seat again. This time the Public Employees’ Benefit Board will decide what criteria should be used to determine whether charges for a birth attended by a midwife should be paid by Providence Health Plans, the statewide health plan.   

Lane County State's Top Fetal-Infant Mortality Rate

The Lund Report
That rate is prevalent and statistically significant regardless of other factors

September 9, 2010 -- Lane County, home of Oregon’s flagship university, has a high rate of fetal-infant mortality (8.25), a statistic commonly regarded as an indicator of the health and well-being of a population. 

PEBB Restores Mid-Wife Coverage

The Lund Report
The change was prompted by a group known as PEBB Members for Maternity Care Choice
April 29, 2010 -- A group of concerned PEBB members breathed a sigh of relief on April 20 when the board voted unaminously to reinstate statewide coverage for mid-wives.

Midwives Lose When PEBB Switched to Providence

The Lund Report
Under the old contract, Regence BlueCross BlueShield paid for in-home deliveries by licensed midwives
April 7, 2010 -- There’s a glaring omission in the benefits offered to state employees now that Providence Health Plan holds the reins -- licensed direct entry midwifes can no longer be paid for in-home deliveries.

PEBB May Dip Into Reserves Next Year

The Lund Report
Over the past year, medical costs for state employees grew 12.6 percent

November 4, 2009 --- Unless medical costs drop by 2.6 percent next year, the Public Employees Benefit Board may be forced to dip into its reserves.


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