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States and private insurers are adding Medicaid and employer plan benefits for doula support to lower cesarean rates and preterm births. Companies like Pomelo Care and Maven Clinic vet certified doulas and handle billing and claims so providers can focus on patients.
- 33 states plus DC now cover doula care under Medicaid or are rolling it out soon.
- UnitedHealthcare plans to give up to 7.2 million employer-plan members access to doula support by the end of 2027.
- Startups like Pomelo Care (valued at $1.7B, supporting ~350 doulas) and Maven Clinic now handle credentialing, insurance documentation, and claims for doulas, who previously worked solo on a cash basis.
- Doula care is linked to fewer C-sections and premature births, with especially strong benefits for Black mothers.