A postpartum home visit: a midwife checks a new mother's blood pressure while she holds her newborn, as her Mama Companion® sits beside her with a tablet

Our model

Scaling Whole-Person Care. Transforming Maternal Health.

Clinical care alone misses the human context. Community trust alone lacks enterprise scale. Wolomi unites both into a single, accountable model engineered to fulfill Transforming Maternal Health (TMAH) goals and close outcomes gaps.

Wolomi mamas list showing each member's status, lifecycle stage, pregnancy or postpartum journey progress, and assigned Mama Companion®

Pillar 1 — The Technology

Tech-Enabled Care Management

Every member is screened, risk-stratified, and supported by a care plan our platform keeps on track, with every touchpoint documented for plan reporting.

Standardized screening for Health-Related Social Needs (HRSNs), PMADs, and clinical red flags
Real-time risk stratification that updates each member's care plan as her needs change
Task routing and escalation to the assigned Mama Companion^® or midwife
Closed-loop tracking of referrals and care gaps until they're resolved
TMAH- and NCQA-aligned dashboards for value-based quality and outcomes reporting

Encounter notes from a member's Mama Companion® covering a home visit escalated to the on-call midwife, a benefits check-in call, and a warm handoff to a perinatal therapist, each tagged with the social need it resolved

Pillar 2 — The Heart

Hybrid Mama Companions^®

Perinatal Community Health Workers and doulas who work alongside clinical teams, supporting each member from pregnancy through postpartum and connecting her to the care and resources she needs.

Locally hired and matched by language, culture, and lived experience
Hybrid support (in-person + virtual) from pregnancy through 12 months postpartum
Closed-loop referrals for food, housing, transportation, baby essentials, and benefits like WIC and SNAP
Embedded in the clinical team, with supervision and direct coordination with providers
Member app with weekly pregnancy updates, group sessions, and secure messaging

Clinical tab of a member's record showing blood pressure readings over time and PHQ-2, PHQ-9, and GAD-2 depression and anxiety screenings

Pillar 3 — The Shield

Midwifery-Led Clinical Intercept

Rapid clinical escalation pathways led by midwives and maternal mental health therapists, helping prevent avoidable ED visits and severe maternal morbidity when Mama Companions^® flag a risk.

Midwifery-led triage for immediate assessment of elevated physical risk signals
PMAD screening at intake and throughout care, with warm handoffs to maternal mental health therapists
Follow-up on provider-directed care: screenings, specialty referrals, and care plan updates
Direct clinical coordination with primary OBs, midwives, FQHCs, and hospital systems
Standardized escalation protocols built for plan oversight and clinical quality compliance

Edit insurance modal for a member's Medicaid pregnancy and postpartum coverage, effective April 2026 through November 2027, 12 months after her due date

Pillar 4 — The Navigator

Postpartum Benefit and Coverage Retention (HR1 Readiness)

Proactive renewal support that protects postpartum coverage at the 12-month transition, preventing lapses for moms and churn for health plans.

Renewal outreach initiated 3 months before the 12-month postpartum coverage transition
Automated eligibility tracking with alerts for upcoming redetermination deadlines
Document collection and state submission guided by the member's Mama Companion^®
Retention reporting that shows plans members retained, lapses prevented, and revenue protected

A continuous, value-driven pathway from intake through 12 months postpartum

1Member identification and risk screening via health plan or Medicaid MCO
2Local, culturally congruent Mama Companion^® matched within days
3Continuous monitoring with real-time midwifery escalation for clinical and behavioral risk
4Proactive Medicaid renewal and care continuity through 12 months postpartum and beyond