AI Is Rewiring Pregnancy Care: Babyscripts CEO on RPM, Risk, and Real Outcomes

Guest: Anish Sebastian, CEO & Co-Founder, Babyscripts

Host: Ryan Estes

Episode Summary

Maternal mortality is rising in the U.S. while access to care lags. Anish Sebastian explains how Babyscripts uses AI, remote patient monitoring, and data-driven care plans to connect OB providers with patients between visits, cut unnecessary appointments, and surface high-risk events earlier. We dig into clinical validation, cultural and regulatory friction, value-based care incentives, and what an AI-assisted “team of experts” model means for the future of pregnancy care.

Who This Is For

• Founders and product leaders in digital health
• Clinicians exploring virtual care
• Investors focused on outcomes and cost
• Operators building AI into regulated workflows

Key Takeaways

• Maternal health crisis in the U.S.: access and incentives drive outcomes
• Pregnancy RPM: blood pressure, weight, glucose, symptoms, SDOH, mood screens
• Two adoption waves: telemedicine/remote care → AI for documentation and prediction
• B2B2C: sell to providers, prescribe to patients; workflow-first design
• Validation before scale: studies, workflow fit, and minimizing liability signal fatigue
• Value-based care rewards prevention and continuous monitoring
• AI’s first impact: admin automation (notes, coding, billing), then predictive risk
• Engagement model: task-oriented app—optimize for doing, not scrolling
• Future: AI agents triage continuous data, escalate to humans, close the loop
• North star: earlier risk detection, fewer adverse events, more patient agency

Frameworks

Adoption Waves

1. Telemedicine + Remote Monitoring (COVID acceleration)
2. AI/LLMs for documentation → predictive risk → agentic care

Care Delivery Loop

1. Collect → Detect → Notify → Intervene

Engagement Design

• Weekly education, specific tasks, quick biometrics
• Short sessions, provider-connected feedback

Incentive Alignment

• Fee-for-service vs. value-based care

Future Model

• Team of experts on demand + AI triage agents

Resources

• Babyscripts
• Babyscripts — About
• March of Dimes

Episode

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