“We actually have two tiers,” Dr. Marcotte said. “Tier one is the uncomplicated pregnancy and our first project was really to get consensus [around those patients]. There was quite a bit of engagement. We had several meetings at the beginning of our project to help build consensus and we continue to look at that as new evidence comes out to make sure that we are staying consistent with best practice.”
The second tier focuses on more complicated pregnancies.
“There was a reengagement with providers, both our subspecialists in maternal fetal medicine and our generalists [ob.gyns.], to rethink what are the essential elements of best practice care for a patient that has certain complications like hypertension or twins or some of the other things that we included in the tier two clinical care pathways.”
So far, very early results show that those in the bundle are in fact seeing better outcomes, something that in general is expected of a value-based payment model.