For payers and ACOs
Close maternal care gaps and lower total cost of care
Materna is built to help Medicaid managed-care plans and ACOs strengthen HEDIS prenatal and postpartum measures, divert avoidable ED visits, and improve PMPM through earlier risk detection. A Spanish-first, voice-first experience is designed to reach the hard-to-engage members who carry the most maternal risk, and to turn engagement into closed care gaps and a better member experience. Patients are always free.
What Materna is designed to deliver
Stronger HEDIS performance
Prenatal and postpartum touchpoints, depression screening, and well-child follow-up are built into the member journey to support the prenatal and postpartum HEDIS measures your plan reports, and to help close the care gaps that move your rates.
Fewer avoidable ED visits
Hourly risk computation is designed to flag members trending toward preeclampsia, preterm birth, gestational diabetes, and postpartum depression early, so outreach can reach them before a crisis and help divert avoidable emergency department visits and admissions.
Lower PMPM through earlier action
Catching rising risk earlier and routing it to a 24/7 bilingual nurse line is built to reduce costly downstream complications, aiming to lower per-member-per-month spend on the highest-risk maternity population.
Engagement that reaches your hardest members
Voice-first, Spanish-first design is built to reach Hispanic and Latina members who are often undercounted in engagement, the same members where quality gaps and avoidable cost concentrate, and to lift the member experience that shapes your CAHPS and retention.
Closed-loop SDOH you can report on
A coordinator portal turns social-needs referrals for housing, food, transportation, and immigration into closed loops you can document and report, not dead ends, so social risk becomes measurable action.
Commercial models that share the risk
Materna works under per-member arrangements and value-based contracts, including shared savings tied to measurable improvement, so the model is designed to align our incentives with your quality and cost goals. Care is always free for patients, which is built to remove a barrier to engagement and widen your reachable population.
Built for
- Medicaid managed-care organizations closing maternal care gaps
- Accountable care organizations (ACOs) managing total cost of care
- FQHCs and rural or critical-access hospitals
- Health systems serving border and immigrant communities
Frequently asked questions
- What is the ROI or value for the plan?
- The platform is designed to support HEDIS prenatal and postpartum quality measures, help divert avoidable ED visits, close care gaps, and improve per-member-per-month (PMPM) cost through earlier risk detection and bilingual engagement. We frame these as capabilities and design goals, not as guaranteed percentages or dollar figures.
- Is Materna compliant?
- Yes. The platform is HIPAA-aligned, keeps member data private, and supports FHIR R4 interoperability for secure data exchange with your data ecosystem.
- How does Materna reach hard-to-engage members?
- Through bilingual, Spanish-first, voice-first outreach (in Spanish or English), a 24/7 bilingual nurse line, and closed-loop social-needs (SDOH) referrals you can report on. This approach reaches the Hispanic and Latina members who are often undercounted in engagement.
- How does Materna help with maternity quality measures?
- Materna builds prenatal and postpartum touchpoints, depression screening, and well-child follow-up into the member experience, which supports the maternity-related quality measures plans report.
- Which states and plans does Materna work with?
- Materna works with Medicaid in Arizona, California, Texas, and Pennsylvania, and accepts most commercial plans, with a focus on border communities.
- What contract models does Materna offer?
- Per-member arrangements and value-based contracts, including shared savings tied to measurable improvement.