Maternal care model

The Washington Health Care Authority (HCA) is designing a maternal care model to incentivize high-quality, high-value care that improves perinatal health outcomes and addresses racial and ethnic disparities. Value-based purchasing (VBP) strategy will be part of the model.

Value-based purchasing (VBP) links payment to health care value rather than quantity of care delivered. VBP models align incentives between health care providers and patients by holding health care providers accountable for the cost and quality of the care they provide and rewarding them for better health outcomes. Payment approaches that are considered VBP include: episodes of care, pay-for-performance, patient-centered medical homes, Medicaid health homes and accountable care organization models, among other approaches.

This model will support Washington’s health care transformation efforts to achieve the quadruple aim of enhancing patient experience, improving population health, reducing costs, and improving the work life of health care providers, including clinicians and staff. 

About the maternal care model

The maternal care model will aim to:

  • Increase utilization of, and improve quality of prenatal and postpartum care
  • Reduce maternal morbidity and mortality
  • Reduce racial and ethnic disparities in perinatal outcomes
  • Improve birth outcomes
  • Increase care coordination between health care providers for birth parent and infant
  • Leverage the full 12 months of postpartum Medicaid coverage




For input on design and implementation