Clinic business

BCBS of Michigan partners with Maven Clinic for virtual family and maternity care

Michigan’s Blue Cross Blue Shield is partnering with Maven Clinic, a digital family health platform, to provide members with additional family and maternity support, the health plan announced Wednesday. The Maven Clinic platform will be available for the 2023 open enrollment period.

Insurer members can use the New York-based Maven app. Once they log in and confirm they are part of BCBSM, they have access to 24/7 virtual care with Maven Care Advocates, who answer questions and help direct users to the services they need. Members can receive virtual clinical support from specialist providers, including obstetricians, pediatricians, lactation consultants, pediatric sleep coaches and psychologists.

The platform includes care matching, where users can find care advocates and virtual coaches based on identity, race, ethnicity, religious orientation, and LBGTQ status. , said Aji Abraham, senior vice president of health plan innovation and market solutions at BCBSM.

“Our goal is to support all pathways to parenthood, including support for expectant moms, dads, same-sex partners, transgender people and single parents,” Abraham said.

Maven offers three programs through the platform: Family Building, Maternity, and Parenting & Pediatrics, according to a Press release. The Family Strengthening Program provides resources for fertility treatment, preconception care, egg freezing, adoption and surrogacy. The 12-month maternity program provides resources for prenatal and postpartum care, NICU support, and high-risk pregnancies. The Parenting and Pediatrics program is for parents of children ages 1-10 who need pediatric care, parenting coaching and special needs support.

A reimbursement tool, called Maven Wallet, is available on the app, which allows employees of self-funded employers to be reimbursed for their expenses.

If members need in-person care, the clinic refers users to network providers. Maven’s resources are meant to be an extension of current BCBSM benefits and provide additional support between regular in-person appointments.

Employer groups will only pay for members who use the Maven platform, rather than based on the total number of members, Abraham said. BCBSM will then pay Maven and process claims from members who are supported. The payment model is a departure from the way many benefit companies are paid by employers who offer their products and services to employers. Usually, employers pay them at a monthly rate per member based on the total number of employees, regardless of how many users actually use the product.

Maven, which achieved unicorn status last year, isn’t the only company in the digital mothering and parenting space. Other companies include Ovia Health and Progyny.

BCBSM chose to work with Maven because of its proven track record, Abraham said. In its eight years of experience, the technology company has achieved a 20% reduction in C-sections and a 28% decrease in NICU stays.

Along with the impressive results, Abraham was also struck by the company’s mission. He added that BCBSM and Maven have ashared mission of health equity and investing in community partnerships to address racial disparities and improve maternal and child health care and outcomes.

BCBSM’s ultimate goal in partnering with Maven Clinic is to provide inclusive, flexible and affordable member benefits. He also wants to improve employee retention, productivity and health care costs for employers, Abraham added.

“We want our members to have the easiest and most successful path to starting a family,” Abraham said. “Starting or expanding a family is one of the most important decisions a person or a family can make. There are cost factors to consider as well as the health of the parents and the child. Positive outcomes are only possible with access to the appropriate resources and care.

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