TMaH
Transforming Maternal Health Model
The Transforming Maternal Health (TMaH) Model supports participating state Medicaid agencies (SMAs) in the development of a whole-person approach to pregnancy, childbirth, and postpartum care. By addressing the physical, mental health, and social needs experienced during pregnancy, the model aims to improve outcomes and experiences for mothers and babies, while also reducing overall program expenditures.
Innovation
Develops a whole-person approach to pregnancy, childbirth, and postpartum care that integrates behavioral health, social drivers of health, and continuity of care, building a bridge between clinical and community-based care.
The Problem
The United States has one of the highest maternal mortality rates among high-income countries which disproportionately impacts Medicaid populations.
The Solution
The model supports state Medicaid agencies and holds them accountable to implement evidence-based strategies for expanding access to maternal care, while also integrating behavioral health, social drivers of health, and continuity of care in the postpartum period, including building a bridge between clinical and community-based care.
Expected Outcomes
The model aims to improve maternal and infant health outcomes, such as reduce rates of low-risk cesarean section (c-section), severe maternal morbidity (SMM), and incidence of low birthweight infants and improve overall care experiences for pregnant women.
Strategy
The model aligns with CMMI strategy to promote preventive care by increasing engagement in prenatal and post-partum care, expanding the perinatal health care team, and screening for and managing co-morbidities, as well as empowering patients by increasing their access to health information through technology and data, telehealth, and home monitoring.
Model Goals
- Improve maternal and infant health outcomes
- Reduce rates of low-risk cesarean section (c-section)
- Reduce severe maternal morbidity (SMM)
- Reduce incidence of low birthweight infants
- Improve overall care experiences for pregnant women
- Reduce overall program expenditures
Patient Eligibility
Pregnant women and infants covered by Medicaid.
- Medicaid beneficiary
- Pregnant or in the postpartum period
Provider Eligibility
State Medicaid agencies (SMAs) are the primary participants.
- Must be a State Medicaid Agency (SMA)
Care Categories
Maternal Health
Program Benchmarks & Thresholds
operational
Performance Metrics
Low-risk cesarean section (c-section) rate
Measures the reduction in low-risk c-sections.
Severe maternal morbidity (SMM)
Measures the reduction in severe maternal morbidity.
Incidence of low birthweight infants
Measures the reduction in the incidence of low birthweight infants.
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