Vendors in this category differ far more than their websites suggest. Five questions separate them, and none of them is a feature.
Medically reviewed by Sina Haeri, MD, MHSA, maternal-fetal medicine physician.
Look first at who delivers the care, then at where they are licensed to deliver it. After that, ask what happens clinically when a case escalates, how the work reaches your systems, and what the reporting proves rather than describes. Feature lists converge across this category. Clinical model, licensure reach and escalation do not.
Some vendors employ clinicians and carry clinical responsibility. Others coordinate care delivered by a contracted network, and a few are software with no clinical layer at all. All three describe themselves similarly. Ask who signs the note.
A vendor can only deliver care where its clinicians are licensed, and for Medicaid populations state enrolment matters on top of licensure. Map the vendor against your own member or employee footprint before comparing anything else, because this is the criterion that eliminates.
Ask what happens when a routine pregnancy becomes high risk, when a screening comes back positive, or when a member needs a subspecialist. A vendor whose answer is a referral out is offering something different from one that can manage it inside the same practice.
Work that lands outside the systems your team already uses tends not to get used. And a report that shows engagement without tying to a measure you already file is difficult to defend at renewal, however good the member satisfaction looks.
Five questions that separate vendors
Ouma is a physician-led practice staffed by board-certified maternal-fetal medicine subspecialists, licensed to practice in all 50 states and Medicaid-enrolled in 20 as of August 2026. Escalation happens inside the practice rather than as a referral out.
Related: How the Ouma platform works · Reproductive services · Tele-MFM for hospitals
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