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Group Prenatal Care: A Financial Perspective



Multiple studies have demonstrated improved perinatal outcomes for group prenatal care (GPC) when compared to traditional prenatal care. Benefits of GPC include lower rates of prematurity and low birth weight, fewer cesarean deliveries, improved breastfeeding outcomes and improved maternal satisfaction with care. However, the outpatient financial costs of running a GPC program are not well established.


This study involved the creation of a financial model that forecasted costs and revenues for prenatal care groups with various numbers of participants based on numerous variables, including patient population, payor mix, patient show rates, staffing mix, supply usage and overhead costs. The model was developed for use in an urban underserved practice.


Adjusted revenue per pregnancy in this model was found to be $989.93 for traditional care and $1080.69 for GPC. Cost neutrality for GPC was achieved when each group enrolled an average of 10.652 women with an enriched staffing model or 4.801 women when groups were staffed by a single nurse and single clinician.


Mathematical cost-benefit modeling in an urban underserved practice demonstrated that GPC can be not only financially sustainable but possibly a net income generator for the outpatient clinic. Use of this model could offer maternity care practices an important tool for demonstrating the financial practicality of GPC.

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  1. CenteringHealthcare Institute. (n.d.). Model Overview. Retrieved from:

  2. Cox, R., Obichere, T., Knoll, F., & Baruwa, E. M. (2006). A study to compare the productivity and cost of the centeringpregnancy model of prenatal care with a traditional prenatal care model. (Unpublished final report). White Plains: March of Dimes

  3. Evans, W. N., & Lien, D. S. (2005). The benefits of prenatal care: Evidence from the PAT bus strike. Journal of Econometrics, 125(1–2), 207–239. doi:10.1016/j.jeconom.2004.04.007.

    Article  Google Scholar 

  4. Grady, M. A., & Bloom, K. C. (2004). Pregnancy outcomes of adolescents enrolled in a CenteringPregnancy program. Journal of Midwifery and Women’s Health, 49(5), 412–420. doi:10.1016/j.jmwh.2004.05.009.

    Article  PubMed  Google Scholar 

  5. Ickovics, J. R., Kershaw, T. S., Westdahl, C., Magriples, U., Massey, Z., Reynolds, H., & Rising, S. S. (2007). Group prenatal care and perinatal outcomes: A randomized controlled trial. Obstetrics and Gynecology, 110(2 Pt 1), 330–339. doi:10.1097/01.AOG.0000275284.24298.23.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Institute of Medicine. (2006). “Preterm birth: causes, consequences, and prevention. report brief. Retrieved from

  7. McNeil, D. A., Vekved, M., Dolan, S. M., Siever, J., Horn, S., & Tough, S. C. (2012). Getting more than they realized they needed: A qualitative study of women’s experience of group prenatal care. BMC Pregnancy and Childbirth,. doi:10.1186/1471-2393-12-17.

    PubMed  PubMed Central  Google Scholar 

  8. Melnyk, B. M., Feinstein, N. F., Alpert-Gillis, L., Fairbanks, E., Crean, H. F., Sinkin, R. A., et al. (2006). Reducing premature infants’ length of stay and improving parents’ mental health outcomes with the creating opportunities for parent empowerment (COPE) neonatal intensive care unit program: A randomized, controlled trial. Pediatrics, 118(5), e1414–e1427. doi:10.1542/peds.2005-2580.

    Article  PubMed  Google Scholar 

  9. Mooney, S. E., Russell, M. A., Prairie, B., Savage, C., & Weeks, W. B. (2008). Group prenatal care: An analysis of cost. Journal of Health Care Finance, 34(4), 31–41.

    PubMed  Google Scholar 

  10. New York State Department of Health. (2015). Prenatal care in New York State. Retrieved from:

  11. Picklesimer, A. H., Billings, D., Hale, N., Blackhurst, D., & Covington-Kolb, S. (2012). The effect of CenteringPregnancy group prenatal care on preterm birth in a low-income population. American Journal of Obstetrics and Gynecology, 206(5), 415.e1–415.e7. doi:10.1016/j.ajog.2012.01.040.

    Article  Google Scholar 

  12. Rising, S. S. (1998). Centering pregnancy. an interdisciplinary model of empowerment. Journal of Nurse-Midwifery, 43(1), 46–54.

    Article  PubMed  CAS  Google Scholar 

  13. Tandon, S. D., Colon, L., Vega, P., Murphy, J., & Alonso, A. (2012). Birth outcomes associated with receipt of group prenatal care among low-income hispanic women. Journal of Midwifery and Women’s Health, 57(5), 476–481. doi:10.1111/j.1542-2011.2012.00184.x.

    Article  PubMed  Google Scholar 

  14. Vintzileos, A. M., Ananth, C. V., Smulian, J. C., Scorza, W. E., & Knuppel, R. A. (2002). The impact of prenatal care in the united states on preterm births in the presence and absence of antenatal high-risk conditions. American Journal of Obstetrics and Gynecology, 187(5), 1254–1257. doi:10.1067/mob.2002.127140.

    Article  PubMed  Google Scholar 

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The authors would like to thank Mike Weidner, Sam Ogie, and Heidi Tribunella of the Simon School of Business for their assistance and support and Emily Barrett for her helpful comments and suggestions. Genesee Valley Medical Foundation generously provided the Department of Obstetrics and Gynecology start-up funds for offering group prenatal care. Healthy Baby Network of Monroe County has since provided a Healthy Start grant to fund facilitator training and the pathway to CenteringPregnancy® certification. We are deeply grateful to the staff, providers, and nurses for sharing their time, insights, and help in completing this work and to all the women who participated in group prenatal care at Women’s Health Practice.

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Correspondence to Rebecca A. Rowley.

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Rowley, R.A., Phillips, L.E., O’Dell, L. et al. Group Prenatal Care: A Financial Perspective. Matern Child Health J 20, 1–10 (2016).

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