01
The Challenge
Federally Qualified Health Centers must meet growing perinatal education and support needs while balancing clinician availability, budgets, and reimbursement requirements. Delivering comprehensive CPSP services internally can require recruiting, paying, and managing dedicated employees, along with scheduling, documentation, and program operations.
The business question
How can the health center expand access to CPSP services without building and operating an equivalent in-house delivery team?
02
The BabyLiveAdvice Solution
BayWell Health FQHC partnered with BabyLiveAdvice as an extension of its existing clinical team. BabyLiveAdvice supplied and paid the full-time-equivalent (FTE) personnel delivering CPSP services, managed service delivery, and charted encounters directly in BayWell Health FQHC’s Epic EHR. BayWell Health FQHC kept its patient relationships and clinical oversight pathways while expanding services without hiring an equivalent internal CPSP workforce.
How the program operated
- BayWell Health FQHC kept its patient relationships, established clinical workflows, Epic record, and reimbursement framework.
- BabyLiveAdvice staffed, paid, and delivered the CPSP services on a per-visit basis, functioning as an extension of the BayWell Health FQHC care team.
- The fee to BabyLiveAdvice was calculated as 48% of CPSP reimbursement actually collected for the corresponding visit.
- The arrangement linked BLA service fees to collected revenue rather than requiring a fixed monthly program fee.
03
Outcomes
70%
of BayWell Health FQHC CPSP patients were seen by BabyLiveAdvice
BabyLiveAdvice served 70% of BayWell Health FQHC’s CPSP patients while providing the CPSP workforce at BLA’s expense and documenting directly in Epic. This integrated approach expanded service capacity and continuity without requiring BayWell Health FQHC to hire an equivalent new internal team.
BayWell Health FQHC program outcomes
- CPSP visits were delivered by BLA-funded personnel and charted directly in BayWell Health FQHC’s Epic EHR as part of the existing care team.
- BayWell Health FQHC expanded CPSP coverage without hiring and paying an equivalent new internal CPSP workforce; BLA fees remained tied to collected reimbursement.
04
Return on Investment
A CPSP Revenue Model Built Around Actual Collections
BayWell Health FQHC paid BabyLiveAdvice a per-visit fee equal to 48% of collected CPSP reimbursement and retained 52% before any remaining internal expenses. From its 48% share, BLA paid the CPSP FTEs and furnished service delivery and Epic charting as an extension of BayWell Health FQHC’s team. The arrangement helped BayWell Health FQHC avoid hiring and carrying the payroll costs of an equivalent new CPSP team.
BayWell Health FQHC retained
52%
of collected CPSP reimbursement
BabyLiveAdvice service fee
48%
of collected CPSP reimbursement
Illustrative example: For every $100 of CPSP reimbursement collected, BayWell Health FQHC retained $52 and paid $48 to BabyLiveAdvice. This allocation is not a 52% net profit margin or a verified ROI percentage.
Financial value drivers
- Revenue retention: BayWell Health FQHC retained a majority of collected reimbursement on CPSP encounters delivered through the arrangement.
- Aligned variable cost: BLA fees scaled with collections for services delivered, instead of a fixed monthly subscription or program charge.
- Avoided new payroll and hiring: BabyLiveAdvice employed and paid the personnel providing CPSP services, so BayWell Health FQHC did not need to recruit or fund equivalent additional CPSP FTEs.
- Capacity and access: BLA reached 70% of BayWell Health FQHC’s CPSP patients while delivering encounters within BayWell Health FQHC’s existing Epic-based clinical workflow.
Bottom line
BabyLiveAdvice saw 70% of BayWell Health FQHC’s CPSP patients, paid the CPSP workforce, and documented directly in Epic as an extension of BayWell Health FQHC’s clinical team. BayWell Health FQHC retained 52% of CPSP collections while paying BLA 48% for service delivery, without hiring an equivalent additional CPSP team.