Einstein Medical Center Philadelphia has partnered with Cayaba Care in a large new program to provide home-based care, adding an additional layer of support throughout pregnancy and post-delivery. Cayaba Care offers home visits or telehealth visits which serve as an extension of care provided by Einstein obstetricians in an office setting. The aim of the partnership is to make it easier for patients to receive care, thereby reducing pregnancy complications, pre-term births, and improving overall outcomes. In addition to the care patients receive from their obstetrician, Cayaba provides one-on-one support with routine pregnancy care, mental and emotional health, and helping connect patients with resources and services in the community.
"The partnership with Cayaba enables Einstein to provide wrap-around obstetrical services to help our patients utilize resources that are attainable but not easily accessed," says David Jaspan, MD, Chair of Obstetrics and Gynecology for Einstein Healthcare Network. "By offering services in the home or virtually through telehealth, barriers to care are removed such as the cost of transportation to and from doctor's appointments, arranging childcare, and taking time off of work," adds Jaspan. "This model of care extends past the walls of the doctor's office and reaches beyond traditional obstetrical care to better address patients' social needs and reduce healthcare inequities."
Cayaba Care is centered around a Maternity Navigator who serves as the single point of contact throughout the prenatal and postpartum stages. Members are matched with a Maternity Navigator who lives in their neighborhood, is often a mother who has also delivered locally, and serves as a "big sister" that's trained in maternity care. The Navigator answers questions or concerns about their pregnancy, offers emotional support and patient education, and arranges for needed services. The Navigators, who are medical assistants, work alongside a team of nurse practitioners, patient care coordinators, social workers, behavioral health specialists, and lactation consultants and schedule visits with members of the team as needed.
“We’re excited to partner with Einstein Philadelphia’s innovative OB/GYN department to improve outcomes in our community,” says Olan Soremkun, MD, MBA, Chief Executive Officer and co-founder of Cayaba Care. “Together, we’re able to holistically address clinical, social determinants of health and behavioral health needs for pregnant individuals at a critical time to improve the long-term health and well-being of the pregnant individual and baby.”
After a patient is enrolled, Cayaba works as the primary coordinator of patient needs, working with their insurance company, existing OB provider, and community-based organizations to improve outcomes. At the first visit, the Maternity Navigator and a Nurse Practitioner, complete a health assessment with the patient and discuss healthcare needs and issues and together develop a personalized prenatal and postpartum care plan. As members continue on their pregnancy journey or after delivering their baby, the plans are adjusted as needed. The prenatal care plan consists of managing symptoms, prenatal education, baby's growth and movement, screenings and tests, scheduling obstetrical visits, delivery checklist, and more. The postpartum care plan supports physical and mental recovery and monitors baby's growth and progress. It includes scheduling a postpartum check-up for mom and baby's check-ups, baby feeding and sleep education, vaccination plan for baby, help with a back-to-work plan, and more.
In addition to the Maternity Navigator, other key members of the team are the Patient Care Coordinators and Social Workers who are experts in understanding community resources and social services and can arrange enrollment in WIC (Special Supplemental Nutrition Program through the federal government for Women, Infants and Children), SNAP (Special Supplemental Nutrition Assistance Program, the largest federal nutrition assistance program for eligible low-income individuals and families), Medicaid, and other services. They also schedule doctor and hospital appointments, text or call with reminders, and arrange for transportation to and from appointments.
There is no fee for Cayaba membership. The clinical services are covered by most insurance plans including Medicaid, and the majority of interactions are covered at a very low cost or no co-pay. For patients who are uninsured, Cayaba helps them enroll for insurance to cover pregnancy costs. Ideally, patients join Cayaba at the very beginning of their pregnancy and membership is completed one year after the baby's birth. Upon "graduation," the care team makes sure members are connected to community resources they need for continuation of care.
About Einstein Healthcare Network
Einstein Healthcare Network, a division of Jefferson Health, is a healthcare system with approximately 1,000 beds and more than 8,700 employees serving the communities of Philadelphia and Montgomery County, Pa. The Network is made up of three acute care hospitals including Einstein Medical Center Philadelphia, the largest independent academic medical center in the Philadelphia region training over 3,500 health professional students each year with more than 450 residents and fellows in over 35 accredited programs; Einstein Medical Center Elkins Park; and Einstein Medical Center Montgomery. The Network also includes MossRehab, consistently ranked by U.S. News & World Report as a top rehabilitation hospital in the nation; Willowcrest, named by U.S. News & World Report as one of the best nursing homes for short-term rehabilitation care in Philadelphia; outpatient care centers; and a network of more than 900 primary care physicians and specialists throughout the region. For more information, visit www.einstein.edu or call 1-800-EINSTEIN.
About Cayaba Care
Cayaba Care is a maternal health startup offering community-based clinical services via technology-enabled multidisciplinary care teams. Cayaba Care provides holistic support services, including care coordination, benefit sign-up, routine maternity care in the prenatal and postpartum period, mental health/counseling, breastfeeding support, and patient education via a Maternity Navigator model. For more information about Cayaba Care, visit https://www.cayabacare.com.