Almost 500,000 babies are born every year in California--about one-eighth of all babies born nationwide--and the state's Medicaid program, Medi-Cal, plays an outsized role in covering those births. Although Medi-Cal covers one in three Californians, it pays for nearly one in two of the state's births. This paper examines the opportunities for technology-enabled innovations to improve the value and quality of the maternity care that Medi-Cal delivers. While most babies in the US are born healthy, and maternal mortality and morbidity are rare, adverse outcomes are more common among people covered by Medi-Cal--especially those who are Black. Too often pregnant people covered by Medi-Cal receive care that is fragmented, insufficient, or discriminatory at worst. Outside of the health care delivery system, they are also more likely to face barriers to accessing social needs, such as food and housing. Together, these factors result in higher health risks, poorer outcomes, poorer patient experiences, and avoidable costs for pregnant people. These disparities offer opportunity for improvement and, in turn, innovation for those entrepreneurs that can work within Medi-Cal's unique approach to delivering and reimbursing care.
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