Marta Bralic Kerns, founder and CEO of Pomelo Care, shares insights on navigating the Medicaid landscape. She discusses how her venture addresses the innovators' dilemma while partnering with managed care plans. Highlighting strategies to improve maternal care, Marta emphasizes tailored care plans for Medicaid recipients. The conversation also touches on the fragmented nature of Medicaid regulations and the need for precise data collection. Additionally, the guests advocate for innovation in Medicaid programs to enhance healthcare delivery and support pregnant women.
Marta Bralic Kerns discusses how the hybrid model of virtual prenatal care enhances accessibility and personalized support for pregnant women.
The podcast highlights the urgent need to address maternal health disparities, particularly among vulnerable populations enrolled in Medicaid.
Deep dives
Challenges in Maternal Healthcare
Maternal healthcare in the United States faces significant challenges, particularly highlighted by increasing rates of diabetes, hypertension, and substance use disorder among pregnant women. These issues are coupled with alarming disparities, as Black mothers are three to four times more likely to face mortality related to pregnancy compared to white mothers. The lack of comprehensive and evolving care protocols since the 1930s contributes to worsening outcomes as more women experience complications during pregnancy. Additionally, the decreasing availability of obstetric services, particularly in rural areas, exacerbates these issues amidst rising patient risks.
Innovations in Virtual Prenatal Care
The adoption of virtual prenatal care emerged as a response to the limitations of traditional in-person visits, particularly during the COVID-19 pandemic. A hybrid care model that combines virtual visits with essential in-person assessments allows healthcare providers to meet the specific needs of pregnant patients effectively. This model also supports the management of various risks remotely, which has been recognized by leading obstetric organizations. By integrating telemedicine into prenatal care, health providers can facilitate timely and personalized care that aligns closely with the patients' needs and preferences.
Addressing Disparities and Engagement in Care
Efforts to reduce disparities in maternal health focus on ensuring equitable access to healthcare services for vulnerable populations, particularly those enrolled in Medicaid. Companies dedicated to serving this demographic recognize the importance of engaging patients in a manner that prioritizes their individual circumstances and social determinants of health. Effective outreach strategies have been implemented, including community engagement and personalized support based on patient needs, which foster trust and participation. Measurement of outcomes across different racial and ethnic groups is essential for understanding and addressing disparities in maternal health, shaping future care models.
Marta Bralic Kerns, founder and CEO of Pomelo Care, joins Will Shrank, MD, a16z Bio + Health venture partner.
Together, they talk about the innovator’s dilemma with building in the Medicaid space, how Pomelo partners with managed care plans, and the opportunity to potentially lower costs through providing additional support to pregnant women.
This is the third episode in our Medicaid Matters series. Listen to previous guests Mark Smith, MD, and Nikita Singareddy in the Raising Health feed.
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