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Maternity care: The challenge of paying for value


 

Their engaged physician community has been a key factor in early successes, she added. “What heartens me the most is the degree to which the physicians have really led and informed that evolution of the program and the commitment on the partner side to say first and foremost what does the evidence say, what is clinically appropriate. That has always been our North Star.”

Even with the guidelines of eligibility, patient selection is at the physician’s discretion.

“Our goal is to figure out [how] to be as inclusive as possible,” said Michael Marcotte, MD, director of quality and safety for women’s services. “Creating a program that allows us to not exclude women [is possible] if we can create a learning around that. Our goal to be as inclusive and that has really been very much a high priority for the employer that we are engaged with.”

And doctors are helping to shape how women are included in the process.

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