The Cayaba Care Model
Cayaba Care is tackling a critical life event for underserved populations. The pregnancy experience can change the long-term trajectory of health, success, and well-being for moms, babies, and their communities.
The discrepancies in quality of care are particularly significant at this key stage due to bias, strained resources, lack of coordination, and other social determinants of overall health.
Luckily, this is a rare scenario in which the good thing is also the right thing: hospitals and insurance companies are financially incentivized to have healthy deliveries, but are not able to specialize in the level of service, cultural understanding, and logistical needs of at-risk patients.
Cayaba Care is able to help members not only to have a healthy delivery, but a comfortable pregnancy journey that takes into account their overall physical, mental, and emotional health for the long term.
What is Cayaba Care doing differently?
Any social worker will tell you that there is not a shortage of people and organizations willing to help and provide resources in the maternity care space. However, the existing solutions are not being utilized, and the results speak for themselves. In the United States:
- The annual cost of preterm births in the healthcare system is $26 million.
- More than 700 women die of pregnancy-related complications each year and over two-thirds of these deaths are preventable.
- 24% of patients receive inadequate prenatal care.
- The rate of maternal morbidity has doubled in the last few decades, and is also double that of most other developed countries.
Sources for stats and generally helpful reading:
- The High Costs of Maternal Morbidity Show Why We Need Greater Investment in Maternal Health (The Commonwealth Fund)
- Vital Signs: Prescription Opioid Pain Reliever Use During Pregnancy — 34 U.S. Jurisdictions, 2019 (Centers for Disease Control and Prevention)
- Prenatal and Postpartum Care (National Committee for Quality Assurance)
- Understanding The Impact Of Prenatal Care: Improving Metrics, Data, And Evaluation (Health Affairs Journal)
Cayaba Care’s approach:
- Provide a single point of contact, a local, trained Maternity Navigator who is the go-to point person for resources, logistics, accountability, and emotional support.
- The Maternity Navigator and patient still receive support from a diverse staff of nurse practitioners, OBGYNs, lactation consultants, social workers, behavioral health specialists.
- Regular in-home and virtual visits to meet patients where they are and remove the cost barrier of transportation, childcare, and time taken off of work.
How does Cayaba Care make money?
Membership to Cayaba Care is free, as we are very intentional about not placing a significant financial burden on our members. We have a model in which we are able to operate sustainably as a business through our partnership agreements. Cayaba Care is compensated by insurers and health systems for our ability to provide extra support, reduce costs, and improve outcomes for our members. All of this is possible while still ultimately aligning our incentives with our patients, which is our main priority. When our patients are happy and doing well, we do better as a business.
We are not a nonprofit, which works to our advantage. With venture capital funding, we are able to invest in long-term solutions, adapt our services quickly, and bring in technical, logistical, and business expertise from other industries in order to innovate on what has historically been the “unsolvable” maternity problem for the healthcare industry.
You may have observed other industries and problems receiving similar types of tech investment: food delivery, ridesharing, social media -- and wondered, when will this type of money and expertise be deployed to the sectors of our society that need it most? This is the unique position that Cayaba Care is able to have.
How do you know Cayaba Care's approach is working?
- 35% reduction in emergency room visits.
- 3 times more likely to attend their scheduled OB appointments.
- 90% of our members would recommend the service to a friend.
- Our Net Promoter Score is 85. The health industry average is between 10 and 43.
We are still early in our program's development but we’ve been thrilled with the positive feedback from our members and partners. If you have any questions about our model, our approach, or our services, please email us at email@example.com and we would be happy to have you speak with someone on our team.