Free for patients. Always. Three tiers for everyone else.
Patients are never billed. Provider seats and value-based-care arrangements pay for the platform. Below are the per-provider tiers and the value-based-care shape we propose to payer partners.
Free for patients. In-network with most major plans.
AHCCCS, PA Medicaid, Medi-Cal, Texas Medicaid, BCBS, United, Aetna, Cigna, Anthem, Kaiser, and more.
Provider tiers
Per provider, per month.
All tiers include the patient PWA at no charge to patients. No setup fees. No annual minimum on the Starter tier. Custom contracts available for FQHCs and rural critical-access hospitals.
Starter
For small clinics and individual providers. Get started with the patient PWA, validated screeners, and the AI Scribe.
- Patient PWA in EN + ES
- Voice on every form
- AI Scribe drafting
- Validated screeners (PHQ-9, GAD-7, EPDS, AUDIT-C, M5Q)
- Email + SMS alerts
- Up to 3 providers
Growth
For multi-provider practices and FQHCs. Adds risk panel, coordinator portal, specialist network, and the cross-border export.
- Everything in Starter
- Risk panel and care gaps
- Coordinator portal with SDOH closed-loop
- 14-specialty pre-credentialed network
- Cross-border FHIR R4 export
- API access
- Up to 25 providers
Enterprise
For health systems, IDNs, and large FQHC networks. Adds SSO, SCIM, custom SLAs, and dedicated success.
- Everything in Growth
- OAuth + SAML SSO
- SCIM 2.0 provisioning
- BAA and custom DPA
- Dedicated success manager
- Custom SLOs
- 24/7 incident response
Pricing is indicative. Final pricing reflects panel size, deployment scope, and contract length. We will not surprise you with line items.
For payers and ACOs
Value-based-care, the way it should be written.
Materna Health Solutions proposes shared-savings and capitated arrangements with managed-Medicaid and commercial payers, tied to specific HEDIS and operational measures with open methodology.
Measures we share savings on
- HEDIS PPC, postpartum and prenatal care
- HEDIS PND, prenatal depression screening
- HEDIS PPD, postpartum depression screening
- NTSV C-section rate (Joint Commission)
- ED diversion (ambulatory-care-sensitive)
- PMPM total cost of care
How we structure
- Matched comparator population, never adjusted between reports
- 12-month look-forward attribution
- 15 to 25 percent share of measurable improvement
- Floor and ceiling negotiated per contract
- Refresh dates published each quarter
- Methodology open at /algorithms and /outcomes
For FQHCs and rural sites
A federally-qualified pricing tier.
We are designing a shared-cost model specifically for FQHCs and critical-access hospitals. The shape of the contract reflects the budgets these systems actually have, not the budgets they are sold to.
Sliding-scale per-provider fee tied to encounter volume
Patient PWA always free, including for sliding-scale clinic patients
Cross-border export included at no extra fee
Quarterly outcomes scorecard included
The FQHC tier is in design and will launch with our first lived-data partner. Talk to us if you are an FQHC or critical-access hospital interested in helping us shape it.
One conversation. We will not surprise you with anything.
Bring your panel size, your payer mix, and any constraints. We will quote transparently and back the math up.