Refer a patient. Or partner on a population.
Phia closes the perinatal care gap between OB visits — built to support the plans that pay for maternal outcomes and the practices that deliver them. Operating today, supervised by licensed clinicians, contracted under existing Pennsylvania frameworks.
Refer a patient. Or partner on a population.
Phia is a virtual perinatal medical group that closes the care gap between OB visits. We support the practices delivering maternal care and the plans accountable for maternal outcomes across Pennsylvania.
Continuity, when it matters most.
Continuity, when it matters most.
The postpartum window is where many preventable risks surface, but most practices do not have a structured way to monitor, triage, and follow up between visits.
The postpartum window is where many preventable risks surface, but most practices do not have a structured way to monitor, triage, and follow up between visits.
Phia operates as the responsible care layer across pregnancy and postpartum, helping patients navigate recovery, behavioral health, lactation, symptoms, referrals, and social needs without leaving the OB practice to manage it alone.
Phia operates as the responsible care layer across pregnancy and postpartum, helping patients navigate recovery, behavioral health, lactation, symptoms, referrals, and social needs without leaving the OB practice to manage it alone.
Who we work with
Who we work with
Who we work with
Phia is a contracted clinical entity, built to serve the organizations accountable for perinatal outcomes in Pennsylvania.
Medicaid health plans
Built to support perinatal HEDIS performance — postpartum visit completion, perinatal depression screening, and follow-up after positive screens. HRSN closed-loop documentation supports CMS reporting requirements and NCQA delegation oversight. Contracting framework spans existing Medicaid codes, care coordination, and PMPM or shared-savings arrangements.
OB practices
Phia is a referral destination, not an EHR integration. We extend your panel with continuous monitoring and specialty care between visits while you remain the medical home for prenatal, delivery, and postpartum visits.
Federally Qualified Health Centers
Phia extends FQHC perinatal capacity into the time between visits — continuous monitoring, behavioral health, and postpartum care delivered virtually.
Five stages. One responsible party. Phia operates as a perinatal medical group across the full perinatal year — supervised by licensed clinicians at every consequential decision.
Five stages. One responsible party. Phia operates as a perinatal medical group across the full perinatal year — supervised by licensed clinicians at every consequential decision.
IDENTIFICATION
Patients enter Phia through one of two paths — a referral from a partnered OB practice, or attribution from a contracting health plan based on member eligibility data. Phia engages every identified patient within a defined window of intake.
How patients are identified
OB practice referrals via secure form on phia.health
Health plan attribution via secure file transfer
Patient outreach initiated within the same window
Engagement reporting back to the source
IDENTIFICATION
Patients enter Phia through one of two paths — a referral from a partnered OB practice, or attribution from a contracting health plan based on member eligibility data. Phia engages every identified patient within a defined window of intake.
How patients are identified
OB practice referrals via secure form on phia.health
Health plan attribution via secure file transfer
Patient outreach initiated within the same window
Engagement reporting back to the source
STRATIFICATION
Phia's risk stratification agent evaluates each patient continuously against published clinical guidelines. Every new signal — vitals, screenings, symptom reports, missed visits, messages — re-evaluates risk. Material changes route to a licensed Phia clinician for review and action.
How risk is evaluated
Grounded in ACOG clinical guidelines and validated screening instruments
Two-layer alert architecture: active risk state plus complete event log
Continuous re-stratification on every new signal
Every alert traces back to a validated clinical rule with full provenance
STRATIFICATION
Phia's risk stratification agent evaluates each patient continuously against published clinical guidelines. Every new signal — vitals, screenings, symptom reports, missed visits, messages — re-evaluates risk. Material changes route to a licensed Phia clinician for review and action.
How risk is evaluated
Grounded in ACOG clinical guidelines and validated screening instruments
Two-layer alert architecture: active risk state plus complete event log
Continuous re-stratification on every new signal
Every alert traces back to a validated clinical rule with full provenance
COORDINATION
The OB Care Coordinator agent reasons over each patient's full clinical context daily and on event triggers, then dispatches the appropriate touchpoint from a Medicaid-standard catalog. Phia's care coordinators own escalations and any decision outside the agent's authorized scope.
How coordination operates
Adaptive cadence per patient and clinical stage
Touchpoint catalog includes SDOH resource matching across 500+ verified Pennsylvania resources
Out-of-scope decisions route to a Phia care coordinator
Documented kill switches for safety-critical scenarios
COORDINATION
The OB Care Coordinator agent reasons over each patient's full clinical context daily and on event triggers, then dispatches the appropriate touchpoint from a Medicaid-standard catalog. Phia's care coordinators own escalations and any decision outside the agent's authorized scope.
How coordination operates
Adaptive cadence per patient and clinical stage
Touchpoint catalog includes SDOH resource matching across 500+ verified Pennsylvania resources
Out-of-scope decisions route to a Phia care coordinator
Documented kill switches for safety-critical scenarios
INTERVENTION
When a patient needs clinical care, Phia's licensed clinicians deliver it directly. Behavioral health, lactation, nutrition, rehabilitation, and post-discharge specialty care — all under one care coordination model, all delivered by Pennsylvania-credentialed professionals.
Clinical scope and credentials
Behavioral health — licensed therapists, psychiatrists, NPs
Lactation — IBCLC consultation
Care coordination — RN-led
Post-discharge specialty care — continuity through the 12-month postpartum window
INTERVENTION
When a patient needs clinical care, Phia's licensed clinicians deliver it directly. Behavioral health, lactation, nutrition, rehabilitation, and post-discharge specialty care — all under one care coordination model, all delivered by Pennsylvania-credentialed professionals.
Clinical scope and credentials
Behavioral health — licensed therapists, psychiatrists, NPs
Lactation — IBCLC consultation
Care coordination — RN-led
Post-discharge specialty care — continuity through the 12-month postpartum window
DOCUMENTATION
Every clinical interaction generates structured documentation that flows back to the referring OB practice and forward to the contracting health plan. Findings, screenings, escalations, and resolutions are captured with full clinical provenance.
What partners receive
Real-time alerts to OB practices on threshold events
Weekly digest of patient engagement and screening status
HEDIS measure mapping (PPC, PND, POD-E) for plan reporting
Reporting cadence and format adapted to each partner's needs
DOCUMENTATION
Every clinical interaction generates structured documentation that flows back to the referring OB practice and forward to the contracting health plan. Findings, screenings, escalations, and resolutions are captured with full clinical provenance.
What partners receive
Real-time alerts to OB practices on threshold events
Weekly digest of patient engagement and screening status
HEDIS measure mapping (PPC, PND, POD-E) for plan reporting
Reporting cadence and format adapted to each partner's needs
Two agents. One clinical team
Two agents. One clinical team
Two agents. One clinical team
Phia operates on internal clinical tooling we built from the ground up for perinatal care between visits. Risk Stratification is our backbone. The OB Care Coordinator is the newest member of our clinical team. Both are deployed and running today.
Phia operates on internal clinical tooling we built from the ground up for perinatal care between visits. Risk Stratification is our backbone. The OB Care Coordinator is the newest member of our clinical team. Both are deployed and running today.
Risk Stratification
01
Phia's risk stratification agent runs continuously against each patient's full clinical context. Every new signal — vitals, screenings, symptom reports, missed visits, messages — re-evaluates risk against published clinical guidelines. Material changes route to a licensed clinician for review and action.
Grounded in: ACOG clinical guidelines, validated screening instruments, and published clinical decision rules for high-acuity perinatal conditions.
Auditable: Complete event log of every signal, evaluation, and alert — available to partner compliance teams on request.
Supervised: The agent surfaces. Phia's licensed clinicians decide. No clinical action is taken on agent output alone.
Risk Agent
01
Phia's risk stratification agent runs continuously against each patient's full clinical context. Every new signal — vitals, screenings, symptom reports, missed visits, messages — re-evaluates risk against published clinical guidelines. Material changes route to a licensed clinician for review and action.
Grounded in: ACOG clinical guidelines, validated screening instruments, and published clinical decision rules for high-acuity perinatal conditions.
Auditable: Complete event log of every signal, evaluation, and alert — available to partner compliance teams on request.
Supervised: The agent surfaces. Phia's licensed clinicians decide. No clinical action is taken on agent output alone.
Risk Stratification
01
Phia's risk stratification agent runs continuously against each patient's full clinical context. Every new signal — vitals, screenings, symptom reports, missed visits, messages — re-evaluates risk against published clinical guidelines. Material changes route to a licensed clinician for review and action.
Grounded in: ACOG clinical guidelines, validated screening instruments, and published clinical decision rules for high-acuity perinatal conditions.
Auditable: Complete event log of every signal, evaluation, and alert — available to partner compliance teams on request.
Supervised: The agent surfaces. Phia's licensed clinicians decide. No clinical action is taken on agent output alone.
OB Care Coordinator
02
The OB Care Coordinator agent reasons over each patient's full context daily and on event triggers, then dispatches the right touchpoint from a Medicaid-standard catalog. Phia's care coordinators own escalations, complex cases, and any decision outside the agent's authorized scope.
Safety architecture: Deterministic pre-gates, confidence thresholds, and kill switches before any action reaches a patient
Human escalation: Complex cases and out-of-scope decisions route to a Phia clinician.
Provider of record: Phia's licensed clinicians are the ordering and consulting providers for every action.
OB Agent
02
The OB Care Coordinator agent reasons over each patient's full context daily and on event triggers, then dispatches the right touchpoint from a Medicaid-standard catalog. Phia's care coordinators own escalations, complex cases, and any decision outside the agent's authorized scope.
Safety architecture: Deterministic pre-gates, confidence thresholds, and kill switches before any action reaches a patient
Human escalation: Complex cases and out-of-scope decisions route to a Phia clinician.
Provider of record: Phia's licensed clinicians are the ordering and consulting providers for every action.
OB Care Coordinator
02
The OB Care Coordinator agent reasons over each patient's full context daily and on event triggers, then dispatches the right touchpoint from a Medicaid-standard catalog. Phia's care coordinators own escalations, complex cases, and any decision outside the agent's authorized scope.
Safety architecture: Deterministic pre-gates, confidence thresholds, and kill switches before any action reaches a patient
Human escalation: Complex cases and out-of-scope decisions route to a Phia clinician.
Provider of record: Phia's licensed clinicians are the ordering and consulting providers for every action.
customer success
“Phia bridges the care gap we’ve struggled with for years. Their team catches complications before they escalate — and patients feel seen and supported well after discharge. It’s the kind of continuity every hospital wishes it had.”
“Phia bridges the care gap we’ve struggled with for years. Their team catches complications before they escalate — and patients feel seen and supported well after discharge. It’s the kind of continuity every hospital wishes it had.”
Ashley Cozzo, MD - Neonatologist, Yale School of Medicine
Let's talk about your members.
Let's talk about your members.
A 30-minute capabilities briefing walks through the care model, how a partnership operates in practice, and a population-specific impact estimate built on your gap data.
