Maternity care represents the second-highest healthcare expenditure for employers in the United States and the largest for Medicaid. Despite this high spend, the U.S. experiences some of the worst maternal infant health outcomes in the developed world.

The Pacific Business Group on Health (PBGH) formed the Transform Maternity Care (TMC) program in 2012 to develop a maternity care system that embraces high value services, narrows variations in outcomes, and incentivizes safety throughout California and the U.S. The program emerged in response to PBGH Members’ dissatisfaction with the current state of maternity care and desire to better support the wellbeing of their employees.

The TMC developed programming in four strategic priority areas. They include:

  1. Reduce C-Sections
  2. Expand Use of Nurse Midwives
  3. Spread Value Based Payment
  4. Engage Patients

Additional Resources

Transforming Maternity Care: A Bundled Payment Approach (Integrated Health Association)

Maternity Bundled Payment: A Literature Review (Bree Collaborative)

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