accessMedically reviewed by Sina Haeri, MD, MHSA, maternal-fetal medicine physician.
The category holds four broadly different models: medical practices that employ clinicians, care-navigation services that coordinate care delivered elsewhere, software platforms sold to plans and employers, and device or monitoring companies. They compete for the same budget and answer different problems. Which one fits depends on whether your gap is clinical capacity or coordination.
Practices employ clinicians and carry clinical responsibility
A virtual medical practice sees patients, writes notes, carries malpractice, and is licensed in the states where it delivers care. If your gap is that members cannot get an appointment with the right clinician, this is the model that closes it.
Navigation services coordinate care somebody else delivers
Navigation finds the member, triages, books, and follows up, usually against a network of external providers. It works well where the providers exist and the member is not reaching them. It does not create capacity where there is none.
Software is sold to the payer or the employer, not the patient
Care management and engagement platforms give a plan a way to identify, stratify, and track. The clinical work happens elsewhere. Buying software when the actual constraint is subspecialty availability tends to improve reporting without moving outcomes.
Monitoring and device companies solve a narrower problem well
Remote monitoring vendors supply the cuff, the meter, and the data pipeline. Whether readings change management depends on who is on the other end, which is usually a separate contract.
The question that cuts across all four
Ask who is clinically responsible for the patient, and ask it early. Every other difference follows from the answer, and it is the one thing vendor websites are least consistent about.
What to ask in a comparison
- Who is clinically responsible for the patient?
- Do you employ the clinicians, contract them, or neither?
- Where are you licensed, and where are you Medicaid-enrolled?
- If our gap is subspecialty availability, what does your model add?
Where Ouma fits
Ouma is in the first category: a physician-led medical practice founded by maternal-fetal medicine specialists, licensed to practice in all 50 states and Medicaid-enrolled in 20 as of August 2026. The technology exists to deliver the clinical service rather than the other way around.
Related: How the Ouma platform works · About Ouma · Tele-MFM for hospitals
