Ep 159 –The Mission of Equity in Black Maternal Health: Building Trust, Improving Outcomes, and Turning Pain into Power, with Dr. Neel Shah

10/04/2023 58 min
Ep 159 –The Mission of Equity in Black Maternal Health: Building Trust, Improving Outcomes, and Turning Pain into Power, with Dr. Neel Shah

Listen "Ep 159 –The Mission of Equity in Black Maternal Health: Building Trust, Improving Outcomes, and Turning Pain into Power, with Dr. Neel Shah"

Episode Synopsis

It is Black Maternal Health Week, and this week’s episode provides context and value-based solutioning on how to address the alarming rise of maternal mortality in the U.S. We have horrifically poor maternal health outcomes in the African American population of our country, and it is directly attributable to a flawed design of our healthcare system juxtaposed with the presence of longstanding and systemic institutional racism. If there ever was an opportunity for improving health equity through value-based care, it is with this moral imperative to ensure the fundamental human right to have a safe and evidence-based childbirth that optimizes the chance of survival. On this week’s podcast, you are going to hear from one of the leading voices in health equity, reproductive justice, and value-based maternal health.
Our guest is Dr. Neel Shah, the Chief Medical Officer of Maven Clinic, the world's largest virtual clinic for family health care. He is also a visiting scientist at Harvard Medical School where he previously served as a professor of obstetrics, gynecology and reproductive biology. Dr. Shah has been recognized with the Franklin Delano Roosevelt Humanitarian of the Year Award from the March of Dimes for his impact on maternal health in the United States. He is featured in the films Aftershock, which won the Special Jury Prize for Impact at the 2022 Sundance Film Festival, and The Color of Care from the Smithsonian Channel and Executive Producer Oprah Winfrey. As a physician-scientist, Dr. Shah has written landmark academic papers on maternal health and health care policy, and contributed to four books, including as senior author of Understanding Value-Based Healthcare. He is listed among the "40 smartest people in health care" by the Becker's Hospital Review, and he currently serves on the advisory board of the National Institutes of Health, Office of Women's Health Research.
In this podcast, we discuss a special documentary that Dr. Shah contributed to called “Aftershock”. This inspiring film on black maternal health equity turns pain into power and should be watched by all who strive to make a positive change in American healthcare.  Join us on April 12th, for a screening of the Aftershock documentary and a discussion with other attendees. 
 This podcast is dedicated to Shamony Gibson, Amber Rose Isaac, Kira Johnson, Maria Corona, Sha-Asia Semple, Cordielle Street, and the thousands of women who have lost their lives in the United States maternal health system.

Bookmarks:
01:30 Black Maternal Health Week and the fundamental human right to have a safe and evidence-based childbirth that optimizes the chance of survival.
02:15 Introduction to Dr. Neel Shah, one of the leading voices in health equity, reproductive justice, and value-based maternal health.
03:30 AFTERSHOCK, is an original documentary on black maternal health equity.  (Watch Trailer and attend special free virtual screening on April 12th).
04:00 Support Race to  Value by subscribing to our weekly newsletter and leaving a review/rating on Apple Podcasts.
04:15 This podcast is dedicated to Shamony Gibson, Amber Rose Isaac, Kira Johnson, Maria Corona, Sha-Asia Semple, Cordielle Street, and the thousands of women who have lost their lives in the United States maternal health system.
05:30 Since 1970, we have seen a 500% increase in C-Section procedures over vaginal deliveries, with the rate of C-sections among black birthing persons being much higher than the general population.
06:00 C-sections bring in an average of $10k per procedure, compared to an average reimbursement of $4,500 for a vaginal delivery.
07:30 “Childbirth is the most utilized healthcare service in the United States of America and accounts for 25% of all hospitalizations.”
08:30 The opportunity to extract more “value” in the maternal health system.
08:45 “In childbirth, we predominantly have a “too much too soon” problem. One in three receive a major surgery to give birth,

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