OBJECTIVES: This study focuses on unraveling the complex dynamics among race, ethnicity, and social vulnerabilities as potential predictors of severe maternal morbidities (SMM) for Blue Cross and Blue Shield of Louisiana (BCBSLA)-insured mothers. Acknowledging the significance of contextual factors in maternal health, BCBSLA seeks to provide insights into the distinct challenges this population faces.

METHODS: Leveraging delivery data from June 2020 to May 2023, researchers investigated social determinants of health to discern the correlation on the likelihood of experiencing SMM. BCBSLA used the Alliance for Innovation in Maternal Health’s criteria for SMM. Researchers applied correlation analysis and predictive models to understand the relationships of these variables. The study also scrutinized healthcare racial disparities and systemic biases within BCBSLA that may influence maternal health outcomes.

RESULTS: Out of 22,113 deliveries, researchers identified 258 deliveries with SMM. The average age of members with a delivery was 31 years old at admit. The majority of members identified as White (70.17%), followed by Black or African American (12.94%). Of the variables considered for correlation analysis, the top variables for members who were Black or African American were associated with Unemployment and Housing Cost concerns (p<.01), Poverty and No High School Diploma (p<.05), Multiple Housing Unit with members younger than 17 (p<.01) and Limited English (p<.05). The correlation values were two times greater than those for White members.

CONCLUSIONS:This research is to inform BCBSLA’s healthcare practices and policies, providing valuable insights to enhance the quality of care and reduce the incidence of severe maternal morbidities among Louisiana mothers. The study underscores the importance of tailoring interventions to the specific needs of this population, ultimately fostering improved maternal outcomes.