HEALTH PLANS & MEDICAID MCOs

Virtual maternity care that closes gaps – and reaches every member.

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Ouma delivers virtual maternity care for health plans and Medicaid MCOs, from HEDIS prenatal and postpartum gap closure to total virtual perinatal care for members in maternity deserts. As a tech-enabled clinical practice, not an app, licensed clinicians deliver real care that closes PPC gaps and improves outcomes, in all 50 states.

46%
of prenatal visits led to PPC1 HEDIS compliance
80%
of postpartum visits led to PPC2 HEDIS compliance
5–12%
statewide HEDIS compliance improvement by market
Clinical services

A tech-enabled clinical practice, not an app

Ouma is a licensed, relationship-focused maternity care practice. Every patient is supported by qualified clinicians delivering real medical care, not unlicensed coaches or advocates.

Maternal-Fetal Medicine

Board-certified MFM specialists for high-risk pregnancies, interprofessional consults, and remote monitoring, the complex cases that need deep subspecialty expertise.

Midwifery

Certified nurse-midwives supporting patients from preconception through postpartum, the same clinician each visit, for continuity and trust.

Behavioral Health

Screening, diagnosis, treatment, and therapy for perinatal mood and anxiety disorders, coping mechanisms, non-pharmacologic interventions, and comprehensive support.

Advanced Diabetic Management

Specialized care for gestational and pre-existing diabetes, remote monitoring and expert management that reduces the need for frequent in-person visits.

Addiction Medicine

Counseling and care planning for substance use disorders in pregnancy, pain management, coordination with pediatric providers on neonatal withdrawal, and treatment-program links.

Lactation

Certified lactation consultants by telehealth for postpartum breastfeeding support, care brought directly to members when they need it most.

Perinatal safety net

Total care for every stage of the maternity journey

From preconception to postpartum, Ouma provides an end-to-end clinical safety net, follow-up visits, consultations, prescriptions, and diagnostics on demand.

On-demand subspecialty support, when it matters most

Ouma acts as a perinatal safety net for your members, filling gaps left by provider shortages and geographic barriers, so no patient falls through the cracks.

50
states licensed, ensuring access regardless of geography

Preconception Care

Evaluations that reduce risk and optimize health before pregnancy begins.

Prenatal MFM & Midwifery

Scheduled and on-demand visits with MFM specialists and nurse-midwives.

Behavioral Health

PMAD screening, therapy, and ongoing support through pregnancy and postpartum.

Remote Patient Monitoring

Connected monitoring for gestational hypertension and diabetes with clinician oversight.

Postpartum & Lactation

Continued lactation and behavioral health follow-up for a healthy transition.

Consults, Rx & Diagnostics

On-demand specialist consults, prescription management, and diagnostics, one platform.

HEDIS gap improvement

Close HEDIS prenatal (PPC) and postpartum care gaps

Ouma's clinical programs deliver real-world HEDIS compliance gains across prenatal and postpartum measures, proven across multiple state markets and health plan partnerships.

PPC1, Prenatal

Prenatal care timeliness

Ouma's prenatal engagement programs drive significant PPC1 gains by connecting members with qualified clinicians early in pregnancy.

46%
of prenatal visits led to PPC1 compliance
5–12%
statewide compliance improvement by market
PPC2, Postpartum

Postpartum care follow-up

Our postpartum programs ensure members complete timely follow-up, with lactation, behavioral health, and clinical support driving strong PPC2 closure.

80%
of postpartum visits led to PPC2 HEDIS compliance
Outcomes

Real-world insight and impact

5–12%
statewide HEDIS compliance improvement by market
46%
prenatal visits leading to PPC1 compliance
80%
postpartum visits leading to PPC2 compliance
32%
patients screened positive for mood disorders
37%
had SDoH identified and were elevated to the MCO for wrapped services
50
states licensed, plus Medicaid-enrolled in 20 and growing

What our partners say

Trusted by leading health plans

"Ouma's team is consistently responsive, collaborative, and focused on translating insight into measurable performance improvement, a rare combination in complex health plan settings. They bring the kind of mission alignment and execution discipline that health plans truly value in a partner."
Chutney Arrington
Quality Innovations Director, Molina Healthcare
Molina Healthcare
$50B Federal Investment

Rural Health Transformation funding is here

States are deploying $10 billion per year in CMS Rural Health Transformation funds. Ouma's proven Medicaid programs, with 5–12% statewide HEDIS improvement, are exactly what this funding was designed to support.

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Frequently asked

Common questions about maternity care for health plans

Our team can model HEDIS gap closure and cost impact for your member population.

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How can a health plan improve HEDIS prenatal and postpartum measures?
Ouma's prenatal and postpartum visits drive PPC compliance. 46% of prenatal visits led to PPC1 compliance and 80% of postpartum visits led to PPC2 compliance, with 5 to 12% statewide improvement by market.

How can a plan reduce NICU and maternity costs for members?
By giving members on-demand MFM, behavioral health, and diabetic management, Ouma manages risk earlier, identifying mood disorders in 32% of patients and SDoH needs in 37% before complications escalate.

Is Ouma available to Medicaid MCO members?
Yes. Ouma offers Medicaid maternity telehealth and is licensed in all 50 states, reaching members in maternity deserts regardless of geography.

Is Ouma an app or a real medical practice?
Ouma is a licensed, relationship-focused maternity practice with board-certified MFM specialists and certified nurse-midwives delivering real medical care, not unlicensed coaches or a chatbot.

Can Ouma help plans use Rural Health Transformation funds?
Yes. Ouma aligns with the CMS Rural Health Transformation program to extend maternity coverage into rural and underserved markets.

Let’s Talk

Better maternal outcomes for your members.

Tell us about your population and the measures you are trying to move.

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Expert maternity telehealth, extending the reach of subspecialty clinicians to every patient who needs it.

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