The Cayaba Care Model

Cayaba Care is taking on the egregious problem of poor maternal health outcomes in the United States, particularly facing communities of color. The pregnancy experience can change the long-term trajectory of health, success, and well-being for birthing people, babies, and their communities.

Why pregnancy and postpartum?

The inequities in care quality are particularly significant during these key stages due to multiple factors including: discrimination, historical and structural racism, strained resources, lack of coordination, and other social determinants of overall health. 

We work directly with hospitals and insurance companies who want to improve maternal health outcomes and reduce costs, but are limited in their capacity to be able to address the multiple drivers of poor maternal health, including level of service, cultural understanding, and logistical needs of patients at risk of negative outcomes. 

Cayaba Care is committed to helping members not only have safe births, but also dignified and positive pregnancy journeys that take into account their overall physical, mental, and emotional health for the long term.

How does Cayaba Care support reproductive justice?

In the spirit of Reproductive Justice, defined by SisterSong as “The human right to maintain personal bodily autonomy, have children, not have children, and parent the children we have in safe and sustainable communities,” Cayaba Care is committed to caring for and supporting our employees, patients, and community partners with compassion and respect. 

We believe in patient-centered reproductive care. Our guiding principle is that we support patients through their personal medical decisions, including abortion. We provide comprehensive medical information and counseling based upon patients’ medical needs, free of judgment or personal bias.

We are unfortunately very familiar with the fact that Black and Brown communities and those with limited financial resources are disproportionately burdened and harmed when there are constraints placed on care. Access to safe, equitable healthcare is a human right and abortion and birth control are part of comprehensive healthcare.

What is Cayaba Care doing differently?

Historical solutions in maternal health have not been effective, and the results speak for themselves. In the United States:

  • The annual cost of preterm births in the healthcare system is $26 billion. 
  • 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:

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, but a venture-backed startup. 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.

How do you know Cayaba Care's approach is working?

We measure our progress by considering both patient experience and clinical outcomes data:

  • 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 have great feedback from patients (check out our 5 star reviews!)

We are still early in our program's development but we’ve been thrilled with both the positive and constructive feedback from our members and partners. If you have any questions about our model, our approach, or our services, please email us at and we would be happy to have you speak with someone on our team.