The operational brain for MCOs navigating the CMS TMaH 10-year model. Predictive intelligence that transforms maternal outcomes across three critical pillars.
Targeting the reduction of Severe Maternal Morbidity (SMM) and acute clinical complications.
AI-prioritized list that flags trends predicting crisis 3 days early
Severe Maternal Morbidity (SMM)
Risk gauge calculating C-section likelihood based on labor progression
Low-Risk Cesarean Delivery
GIS map highlighting hospitals with CMS "Birthing-Friendly" designation
Hospital Quality Steering
Focusing on Social Determinants of Health (SDOH) and Integrated Behavioral Health.
Real-time API integration mapping Heat/Air/Food risks to addresses
HRSN Screening Compliance
Sentiment score from Audio Journals triggering HEDIS screening alerts
MMH Screening (PND-E & PDS-E)
High-strain members receive automated transport/CHW dispatch
Timeliness of Care (HEDIS PPC)
Empowering the community workforce and ensuring data interoperability.
Real-time collaboration showing CHW field-vitals and Doula visit notes
Doula & CHW Integration
FHIR API request log for CMS data exchange compliance
CMS Interoperability Framework
"Hours Saved" counter quantifying impact of unified data systems
Workforce Optimization