I have been reading about the new policy changes in Washington. The state is looking for ways to reduce an out-of-control c/s rate. The incentive to have a vaginal delivery is minimal when so much more can be made from doing a c/s. However, by decreasing reimbursement for sections to that of a complicated vaginal birth (I'm guessing this means using forceps or a vacuum at delivery), policymakers hope to lower the c/s rate. Read more about it here.
I don't think that money is always the motivating factor. At least not in terms of making it. I think providers who jump to c/s are more concerned about the loss of money as well as practice, in the form of a lawsuit. I think for this policy to be successful, some changes to the malpractice environment also need to be changed. I am certain we weould see an impact on the section rate from that as well.
Please share your thoughts!