Payers & Health Systems
Reduce Catastrophic Maternal Costs by Engaging the Hardest-to-Reach Mothers
Your highest-risk pregnant and postpartum members are disengaging from care, driving your most expensive outcomes. Swishvo helps health plans engage the members your case managers can’t, before costs escalate.
Measurable. Covered. Healed.
Measurable. Covered. Healed.
The Problem
You Can Identify High-Risk Members. You Still Can't Get Them to Engage.
Every health plan has the same problem: you can identify high-risk pregnant members through claims data, social determinants screening, and risk stratification. But identification isn't the same as engagement.
Your case managers are making calls that don't get answered. Your high-risk members are missing prenatal appointments. They're showing up in the ER instead of their scheduled visits. And when something goes wrong, a preterm birth, a NAS baby, a maternal death; you're covering catastrophic costs that were preventable.
Mothers with Opioid Use Disorder (OUD)
Pregnant women in MAT programs often disengage due to stigma, fear of judgment, and fear of losing custody. When engagement breaks, outcomes escalate quickly: NAS births require 17–23 day NICU stays costing $22K–$45K per infant, with severe cases exceeding $200K. Case managers cannot overcome the trust barrier.
These mothers don’t disengage from care, they disengage from the system.
These mothers don’t disengage from care, they disengage from the system.
Pregnancy & Infant Loss
Women who experience miscarriage, stillbirth, or infant death often disappear from care becoming invisible in claims data until complications surface. Unaddressed grief leads to prolonged depression, psychiatric hospitalization, and years of elevated healthcare utilization. This isn’t a care gap. It’s the absence of human presence when medicine has nothing left to offer.
High-Risk Pregnancies
Members with gestational diabetes, preeclampsia, hypertension, or chronic conditions are overwhelmed by frequent appointments and anxiety-driven avoidance. Missed care leads to preterm births ($65K+ per infant), emergency C-sections, severe maternal morbidity, and litigation risk. Clinical outreach can’t provide the consistent, non-clinical support required to keep these mothers engaged.
Postpartum Mental Health
New mothers experiencing depression, anxiety, PTSD, or psychosis often avoid care due to shame and fear of being labeled a “bad mother.” Disengagement drives psychiatric hospitalizations, ER utilization, and maternal suicide, the leading cause of maternal death in the first year postpartum. Case managers can’t provide peer connection, spiritual safety, or sustained presence. That support must come from outside the clinical system.
The Swishvo Solution
Care Mothers Don’t Walk Away From
What Traditional Care Can’t Provide and Why That’s Not a Failure
Traditional maternal care is built for appointments, referrals, and clinical interventions. It is not built for fear, stigma, grief, or distrust.
Swishvo strengthens maternal care where traditional systems lose mothers. We connect high-risk pregnant and postpartum members with trusted, non-clinical providers like doulas, spiritual care providers, and non-traditional healers who stay with mothers through loss, recovery, and high-risk moments.
When trust exists...
Care continues. Appointments are kept. Treatment is accepted. Crises are prevented.
Swishvo doesn’t replace clinical care.
We make it reachable.
Traditional maternal care is built for appointments, referrals, and clinical interventions. It is not built for fear, stigma, grief, or distrust.
Swishvo strengthens maternal care where traditional systems lose mothers. We connect high-risk pregnant and postpartum members with trusted, non-clinical providers like doulas, spiritual care providers, and non-traditional healers who stay with mothers through loss, recovery, and high-risk moments.
When trust exists...
Care continues. Appointments are kept. Treatment is accepted. Crises are prevented.
Swishvo doesn’t replace clinical care.
We make it reachable.
Evidence-Based Assessments (FICA/HOPE/SMART-SP): Validated tools identify grief burden, distress, social isolation, cultural preferences, and whole-person support needs.
Real-Time Outcomes Data: Dashboards track population-level trends; engagement rates, distress levels, grief burden, social isolation, and care completion.
A Vetted Network of Trusted Providers: Chaplains, doulas, grief counselors, and community-based care providers; screened, credentialed, and trained for quality and consistency.
Coordinated Care Workflows: Integrated referrals, assessments, follow-up, and documentation, designed to work alongside existing care management and EHR systems.
The Swishvo Solution
What Swishvo Unlocks for Health Plans & Systems
Our platform is designed with seamless integration in mind, allowing you to connect it to your favorite apps.
Wide Integration Support
Connect with your favorite tools effortlessly. Our platform supports a broad range of integrations.
Relieve burnout
Offload supportive care so clinicians can focus on complex cases.
Streamline billing
Swishvo codes and submits non-traditional care as covered services.
Prove impact
Data dashboards show reduced complications, readmissions, and costs.
Solutions
Clinical Impact That Lowers Costs and Improves Outcomes
Reduced Distress & Anxiety
Trusted community-based support reduces stress markers and prevents avoidable ER visits among high-risk mothers.
Trusted community-based support reduces stress markers and prevents avoidable ER visits among high-risk mothers.
Fewer Maternal Complications
Trauma-informed, culturally-responsive care correlates with lower C-section and preterm birth rates.
Trauma-informed, culturally-responsive care correlates with lower C-section and preterm birth rates.
Reduced NICU Utilization
Community-based perinatal support for high-risk mothers reduces preterm births and NAS-related NICU admissions.
Community-based perinatal support for high-risk mothers reduces preterm births and NAS-related NICU admissions.
Better Outcomes Data
Standardized assessments track member engagement and care outcomes as measurable health metrics.
Standardized assessments track member engagement and care outcomes as measurable health metrics.
Higher Satisfaction & Retention
Culturally-responsive, whole-person care improves member trust, CAHPS scores, and plan retention.
Culturally-responsive, whole-person care improves member trust, CAHPS scores, and plan retention.
Key metrics
ROI Callout Box
$
6
2
0
4
6
5
2
7
4
1
,
2
0
6
4
2
6
4
5
7
2
2
0
6
4
2
6
4
5
7
0
0
2
0
4
6
5
2
7
4
0
maternal costs with doula support
6
4
4
6
7
2
5
0
2
1
2
0
6
4
2
6
4
5
7
5
-
2
2
6
0
3
7
9
2
8
4
2
0
6
4
2
6
4
5
7
5
%
Chaplaincy reduces avoidable readmissions
≤
2
4
0
4
6
7
6
5
2
35
%
Lower Avoidable ER Utilization
Proof & Testimonials
Health plans where Swishvo providers are in-network:
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Let’s Connect with Us
Reach the Mothers Your Programs Can't
Schedule a 30-minute call with our partnerships team to discuss:
- Your current maternal health challenges and quality measure gaps
- How Swishvo would integrate with your existing care management
- Pilot design for your priority population
- ROI modeling specific to your member mix
- Your current maternal health challenges and quality measure gaps
- How Swishvo would integrate with your existing care management
- Pilot design for your priority population
- ROI modeling specific to your member mix
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