2월 4, 2025​​ 

임산부 및 산후 메디칼 가입자를 위한 보다 공평하고 환자 중심적인 시스템을 만들기 위한 전략을 설명하는 새로운 로드맵​​ 

SACRAMENTO – The Department of Health Care Services (DHCS) today released the Birthing Care Pathway report, a comprehensive plan to improve maternity care for Medi-Cal members. This roadmap covers the journey of all pregnant and postpartum Medi-Cal members from conception through 12 months postpartum, aiming to make care accessible, equitable, and patient-centered.​​ 

“The Birthing Care Pathway represents a critical step forward in California’s commitment to improving maternal health,” said DHCS Director Michelle Baass. “By centering member experiences, aligning policies with actionable recommendations, and strengthening partnerships across sectors, we aim to ensure every Medi-Cal member has access to safe, equitable, and comprehensive maternity care.”​​ 

KEY OBJECTIVES: The Birthing Care Pathway report details policies DHCS has implemented or is in the process of implementing to support all pregnant and postpartum members enrolled in Medi-Cal. Additionally, the report identifies opportunities for future exploration.

The Birthing Care Pathway prioritizes:​​ 

• Reducing maternal mortality and morbidity: Establishing evidence-based interventions to save lives.​​ 
• Addressing health disparities: Tackling racial and ethnic inequities in maternal care, particularly for Black, American Indian/Alaska Native, and Pacific Islander individuals who face the most significant maternal care and outcomes gaps in California.​​ 
• 접근성 및 연계성 향상: 임상, 행동 및 사회적 지원 서비스를 포함한 전반적인 치료 연속성 강화.​​ 
• Modernizing payment models: Transitioning to a value-based payment system to incentivize quality care.​​ 

The Birthing Care Pathway will work to achieve these objectives by transforming Medi-Cal’s maternity policy to create a member-centered approach to prenatal and postpartum care that meets members where they are and provides whole-person care that addresses behavioral health and social needs in addition to medical needs. DHCS will revise and modernize existing Medi-Cal policies to provide members with increased choice of types of maternity providers and supports, like doulas, community health workers, and others, and creating critical linkages between health care and other programs across the state to make it easier for members to get the full range of needed services.​​ 

Additionally, DHCS will address the needs of special populations who are pregnant/postpartum, including people involved with the justice system, individuals with severe mental health and substance use needs, LGBTQI+ individuals, and Black, American Indian/Alaska Native, and Pacific Islander individuals.​​ 

DHCS will continue working with state departments, including the California Department of Public Health (CDPH) and Office of the California Surgeon General (OSG), maternity care and social services providers, state and local leaders, Medi-Cal managed care plans (MCP), birth equity advocates, and other partners to implement the Birthing Care Pathway policies outlined in the report. Continuing to engage a diverse set of partners to implement and further develop the Birthing Care Pathway will be vital to align the numerous maternity initiatives occurring so they are not siloed.​​ 

“Through a comprehensive, whole-person approach, California is not just enhancing perinatal health, but we are setting a bold new standard for care that delivers better outcomes for families statewide,” said California Surgeon General Dr. Diana Ramos. “The Birthing Care Pathway is a vital addition to the state’s efforts that advance perinatal health, building on the innovative, collaborative work already underway.”​​ 

“Having served rural communities throughout my career, I know that providing access to services from conception through one year postpartum has always been a challenge,” said Dr. Robert Moore, Chief Medical Officer at Partnership HealthPlan of California. “Collaborations like the DHCS Birthing Care Pathway are vital in bringing together multiple partners and stakeholders to find solutions. The entire community must engage on this issue to make lasting progress.”​​ 

WHY THIS MATTERS: Nearly one in eight U.S. births occur in California, and 40 percent of those births are covered by Medi-Cal. While California currently has the lowest maternal mortality rate in the nation, Medi-Cal members have a higher rate of maternal mortality than individuals with commercial insurance.​​ 

While the Birthing Care Pathway lays out a long-term strategy for transforming maternity care in Medi-Cal, many services and supports are already available to pregnant and postpartum members. Medi-Cal members can access comprehensive maternity care, including prenatal and postpartum visits, doula services, behavioral health care, and lactation support, through their health plan and provider network. DHCS remains committed to improving and expanding these services as part of the ongoing work to implement the Birthing Care Pathway.​​ 

ABOUT THE BIRTHING CARE PATHWAY: The Birthing Care Pathway includes policy recommendations that address the physical, behavioral, and health-related social needs of pregnant and postpartum members. Opportunities include improving access to providers, strengthening clinical care and care coordination, providing whole-person care, and modernizing how Medi-Cal pays for maternity care.​​ 

출산 관리 경로는 캘리포니아의 산모 건강을 혁신하기 위한 다년간의 노력의 일환이며, 산모 건강 개혁은 이미 진행 중입니다. DHCS는 커른, 프레즈노, 킹스, 툴레어, 마데라 등 센트럴 밸리 5개 카운티에서 연방 정부의 10년 모성 건강 혁신 (TMaH) 모델을 시행하고 있습니다. TMaH는 증거 기반 개입의 효과적인 시행과 가치 기반 지불 모델이 산모 건강 결과를 개선하고 메디칼 프로그램 지출을 줄일 수 있는지 여부
검증하기 위해 설계된 전달 및 지불 모델입니다
협력적 과정: 출산 관리 경로는 임신 및 산후 메디칼(Medi-Cal) 가입자, 주 정부 파트너, 다양한 의료 및 사회 서비스 제공자, 지역 사회 기반 조직(CBO) 및 옹호 단체의 협력적인 노력을 반영하여 캘리포니아의 출산 및 모성 건강 관리의 미래에 대한 지역 사회의 의견을 반영한 정책 접근 방식을 보장합니다. 또한 캘리포니아 의료 재단과 데이비드 & 루실 패커드 재단은 참여 활동 및 보고서 개발을 지원하기 위한 자금을 제공했습니다. 메디칼 회원들의 주요 의견은 출산 선호도 존중, 인종적 배경과 문화적 배경에 맞춘 의료 서비스 접근성 향상, 정신 건강 지원 개선, 그리고 의료 서비스 조정 강화와 같은 중요한 요구 사항들을 강조했습니다. 회원들의 경험은 정책 권고안을 마련하는 데 직접적인 영향을 미쳤습니다. 더 자세한 정보는 출산 관리 경로 웹페이지를

."출산 관리 경로에 대해 알게 되면서 안도감과 희망을 느꼈어요. 추가적인 스트레스 없이 저와 아기의 건강을 돌볼 수 있다는 뜻이었거든요." 라고 11개월 된 아기의 엄마인 M. 타오는 말했다. "제가 도움을 요청하거나 프로그램에 가입하기 위해 전화할 때마다 Medi-Cal로부터 명확한 안내를 받았습니다." 괜찮을 거라는 그 확신, 저는 캘리포니아의 모든 출산 부모들이 그런 확신을 가질 수 있기를 바랍니다.​​  

A BROADER VISION FOR MATERNAL HEALTH: DHCS will work with MCPs, providers, CBOs, and other stakeholders to implement TMaH Model elements, which are aligned with and complementary to the Birthing Care Pathway. Additionally, DHCS is working with the California Maternal Quality Care Collaborative, CDPH, and OSG to develop a Maternal Health Strategic Plan by September 2025 to improve maternal health throughout California.​​ 

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커뮤니케이션실​​ 
(916) 440-7660
DHCSPress@dhcs.ca.gov​​