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Midwifery Access California presents an alternative payment model to better reimburse continuity and on-call midwifery care
Summary
Midwifery Access California presented a bundled episode Alternative Payment Model designed to reimburse the time‑intensive continuity and on‑call services that characterize community midwifery.
Midwifery Access California (MACA) representatives, including Holly Smith and other midwives, presented an Alternative Payment Model / Midwifery Payment Model (MPM) that bundles episodes of care to better reimburse the time and continuity midwives provide.
Model design. The model groups care into discrete bundled episodes: an entry‑to‑care bundle (history, physical, initial labs/ultrasound and screening), trimester‑based prenatal bundles, on‑call/availability bundles, triage/labor/birth/postpartum bundles…
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