Create a nice looking PPT template for a school project to pitch a maternal health care solution: first slide a touching story, second TAM, and then the rest listed below titles. Thank you it’s for a public health class project to create a template proposal/pitching slides. 1. IMPORTANT please include. Market Overview (create a total addressable market for counties in alameda, San Francisco, San Mateo & Santa Clara) below website has the number for those counties, vs to the national TAM.
Size and Scope: Determine the size of the maternal health market in California, including the number of pregnancies, births, and key demographic trends affecting maternal health services demand.
California has been approximately 450,000 to 500,000 per year.
(https://www.cdph.ca.gov/Programs/CFH/DMCAH/surveillance/Pages/Births.aspx)
2. Customer Segmentation
Demographics: Segment the market by demographics, including age, income level, geographical location, and insurance coverage.
Needs and Preferences: Identify the specific needs and preferences of pregnant individuals in California, including access to high-quality healthcare, affordability, and the desire for non-traditional birthing options.
3. Competitive Analysis
Key Players: Identify key players in California’s maternal health market, including hospitals, birthing centers, home birth services, and telehealth providers.
Services Offered: Compare the range of services offered, pricing models, and unique value propositions.
Market Share: Assess the market share of major providers and identify any gaps in services or areas of unmet need.
4. Regulatory Environment
Healthcare Regulations: Review California-specific healthcare regulations that impact maternal health services, including licensing requirements for healthcare providers and facilities.
Insurance and Medicaid: Understand the role of insurance coverage, including private insurance and Medicaid (Medi-Cal in California), in accessing maternal health services.
The medical costs associated with giving birth — throughout the pregnancy, delivery and postpartum care — average about $18,865 in the United States. Cesarean sections (C-sections) cost about $26,280, and complicated or high-risk pregnancies can increase costs. Insurance greatly reduces average costs to just under $2,900. These numbers don’t include fertility care or over-the-counter drugs such as prenatal vitamins.
If you see out-of-network providers, your costs could be much higher. Be sure to check with your plan and understand which services and providers are covered and how much your out-of-pocket costs will be.
In the past, you might have received unexpected bills if you checked into an in-network hospital where an out-of-network provider, such as the person administering anesthesia, treated you. In 2022, the No Surprises Act went into effect, so you can no longer be charged extra for out-of-network services delivered at an in-network facility. It also protects you from higher costs from out-of-network air ambulance services.
If you don’t have a qualifying life event or you missed open enrollment, you may still qualify for Medicaid or the Children’s Health Insurance Program (CHIP), even if your income is above the typical eligibility requirements.
Neither of these programs has enrollment periods, so you can qualify at any time. Both cover pregnancy benefits. In fact, qualified pregnant women are considered a mandatory eligibility group in all states, so any state-run Medicaid program must cover them.
Eligibility for Medicaid is typically based on income, but pregnancy opens up a few more options and expands the usual income limits. Here are some of the options you can find in California through the state’s Medi-Cal program:
Full-scope Medi-Cal: Standard Medicaid eligibility is based on the federal poverty level (FPL). For instance, you might be eligible for Medi-Cal if your income is below 138% of the FPL. In 2022, that number was $27,750 for a four-person household.
Medi-Cal for pregnancy: If you’re pregnant, you can become eligible for Medi-Cal if your income is below 213% of the poverty level, or $59,108 for a family of four. This program is available regardless of immigration status and offers postpartum coverage for up to one year after your pregnancy.
The Medi-Cal Access Program: This program is available to pregnant individuals with incomes within 213%-322% of the poverty level, or $89,355 for a family of four. It also doesn’t consider immigration status and covers pregnancy-related care. It can even help if you have health insurance that doesn’t meet your needs or has too high of a payment.
CHIP is a program within Medicaid offering coverage to children whose families earn too much to qualify for Medicaid but still need assistance. In California, CHIP also offers health care for pregnancy. It can help you get coverage for your child after birth, too.
Even if you think you won’t qualify for Medicaid or CHIP, apply anyway. Pregnancy can make you more likely to fall under the “medically needy” category and help you get affordable coverage. We’ll discuss our Medicaid enrollment guide later on.
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