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A Wolomi Community Health Worker handing a resource referral folder to a pregnant member while documenting on a tablet at a community health center
Managed Care Integration and Health-Related Social Needs (HRSN)

Built for Compliance. Scaled for Health Optimization.

We bridge the gap between clinical healthcare systems, data exchanges, and community-based care. Backed by proven infrastructure optimized under rigorous state and federal Medicaid frameworks, our organization delivers data-driven, audit-ready Social Determinants of Health (SDOH) interventions and Enhanced Care Management specifically designed to optimize clinical outcomes for high-risk maternal populations.

Why partner with us

Turnkey Capabilities for Health Plans, HIEs, and System Partners

Managed Care Operational Readiness

Our workflows, electronic health records (EHR) integrations, and data-sharing protocols were architected under advanced state-level Medicaid capacity initiatives (such as California's PATH CITED program). We speak the language of payer networks and are structured to adapt seamlessly to time-based fee-for-service, bundled payments, or capitated reimbursement models.

Closed-Loop Data Integration

Data integrity and interoperability are central to our operation. We utilize secure, HIPAA-compliant platforms built to integrate into regional Health Information Exchanges (HIEs), Care Coordination Networks, and payer systems to track every maternal health referral from initial screening to verified service delivery.

Proprietary Doula, CHW and Case Management Training

We solve the healthcare workforce shortage from within. We own and operate a highly specialized training curriculum that bridges the gap between traditional Doula care, Community Health Work (CHW), and clinical case management. This unique combination allows us to rapidly deploy a versatile workforce that meets strict payer core-competency and administrative standards, while providing the intensive, hands-on perinatal support that insurance networks actively prioritize.

Targeted Perinatal HRSN Interventions

We focus intensely on the highest-priority, highest-risk health populations. By aligning clinical prenatal and postpartum goals with direct social care — including housing navigation, nutritional security, and medical transportation — we actively support health plans in lowering total cost of care, reducing readmissions, and stabilizing member outcomes.

Trusted by Leading Health Plans & Care Networks

  • Partnership HealthPlan of California
  • Department of Health Care Finance
  • California Department of Health Care Services

Partner with Wolomi

Let’s Build a Connected Care Network Together

As the healthcare industry shifts toward integrated social care and value-based outcomes, you need a partner who understands strict regulatory compliance, technical data exchange, and workforce scalability.