Funders
Outcomes you can measure, at a cost that holds.
Fee-for-service maternity gives a scheme or employer claims lines, not a pathway. We run a controlled, auditable pathway instead: defined risk scoring, structured visits, clear escalation, claims discipline and outcome reporting against a shared data dictionary, on a fixed cadence. We have run it since 2022 and report maternal and neonatal outcomes against defined measures.
The proposition
A controlled, auditable pathway.
A claim tells you what was billed. It does not tell you how the pregnancy was risk-classified, whether escalation happened on time, or what the outcome was. We close that gap: defined risk scoring at booking, structured visits against a set schedule, clear escalation rules, claims discipline, and outcome reporting on a fixed cadence, against a shared data dictionary.
Value-based care, from the funder's side
The same argument that pays a clinician, works for you.
Our clinicians are paid on a value-based structure, not fee-for-service. That is not incidental to a funder. It is the mechanism that keeps cost and quality aligned, because the same incentives that hold for the clinician hold for the claim.
Fee-for-service maternity
- Pays for volume of visits, not the outcome of the pregnancy
- No shared risk classification or shared data dictionary
- Claims variance with no defined escalation or audit trail
- Complication and outcome rates are not systematically reported back
Value-based care with Network One Health
- Organised around the whole maternity episode, booking to the six-week review, not single consultations
- Defined risk scoring at booking drives how closely each pregnancy is followed
- Incentives structured so unnecessary visits are never rewarded and appropriate escalation is never penalised
- Outcomes measured against defined standards and reported on a fixed cadence, against a shared data dictionary
- A measure, contract, improve loop: outcomes inform the contract, and the value that unlocks funds the team properly
What we report
Measured against a shared data dictionary, on a fixed cadence.
Every measure has an agreed definition, denominator and reporting window, so you are comparing like with like across the pathway.
- Maternal and neonatal outcomes, tracked against defined measures since 2022: caesarean and vaginal birth rates, NICU admissions, maternal complications and patient experience.
- A shared data dictionary. Every measure carries an agreed definition, denominator and window, so figures from different sites and periods mean the same thing.
- A fixed cadence. A weekly clinical huddle and monthly case review internally; quarterly and annual contract review with the funder.
- Claims discipline. Structured visits against a set schedule, defined escalation rules, and billing that follows the programme boundaries, not open-ended fee-for-service creep.
- Audit-ready data. Every record is source-timestamped, authored and versioned in the designated EMR.
How it works
The care stays the same. The arrangement flexes.
The clinical pathway and standards do not change. What changes is who supplies the facility, who holds the funds and how value is shared. We agree the fit before we talk commercials.
We run the practice
Network One Health runs the practice end to end.
NOMA Direct →We run it with your hospital
Network One Health and a hospital share the work under clear rules.
NOMA Partner →You stay independent, we connect you
Independent clinicians plug into the pathway without giving up their practice.
NOMA Affiliate →We build it together
Network One Health operates inside a jointly owned structure with a hospital group.
NOMA Embedded →
Proven, not theoretical
We have run this maternity service since 2022 across Johannesburg and Pretoria, measuring maternal and neonatal outcomes against defined standards. You are contracting something that already runs.
The Discovery global-fee maternity programme is contracted, so the commercial pathway is proven, not hypothetical. The same governance spine and data dictionary extend across every site we operate.
A governed maternity programme that already runs. Specialist-led and POPIA-compliant, on a designated EMR, reporting maternal and neonatal outcomes against defined measures since 2022.
Discuss value-based contracting.
Tell us about your scheme, employer group or portfolio and we will show you the pathway and the reporting behind it.