For payers and ACOs
Proposed maternal-care software models for payers.
Materna is a bilingual software preview for exploring maternal follow-up and coordination. Clinical service availability, payer participation and final funding terms require separate acceptance; no active care or measured savings are established here.
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
Explore alert logic with fictional test entries. This preview does not continuously monitor patients or provide clinical follow-up.
Lower PMPM through earlier action
Planned bilingual nurse support. This preview does not provide a staffed nurse line or a clinical response time.
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
The preview illustrates coordination records with fictional referrals. Real receiving services, completed referrals and reportable outcomes must be verified separately.
Commercial models that share the risk
Per-member and value-based models are proposals for discussion. This preview does not establish executed contracts, reimbursement, patient costs or actual service coverage.
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?
- This is a test-only preview. HIPAA readiness and applicable vendor agreements remain under review. Do not enter real patient information.
- How does Materna reach hard-to-engage members?
- Bilingual outreach and coordination are proposed workflows. This preview does not offer an active nurse line or guarantee real referral outcomes.
- How does Materna help with maternity quality measures?
- The design explores maternal and child follow-up. Clinical adoption, care-team coverage and measured quality outcomes require separate acceptance.
- Which states and plans does Materna work with?
- This preview does not establish payer participation, covered care or enrollment assistance. Actual eligibility, service availability and terms must be confirmed separately.
- What contract models does Materna offer?
- Per-member and value-based arrangements, including shared savings, are proposed models. Final agreements and readiness must be confirmed separately.