Perspective

Four payers and what decides their maternity billing: Aetna by visit count from Sept 1, Highmark by due date from Oct 1, the CMS final rule pending in November, and UnitedHealthcare and Cigna on Jan 1 awaiting CMS.
Perspective
October 23, 2026
Two of the largest payers have tied January billing to a rule CMS has not written yet
Ayo Omojola
Column chart of confirmed maternity billing transitions by effective date, peaking at 70 on September 1 2026, with 31 still ahead on January 1 2027.
Perspective
October 20, 2026
Three quarters of the confirmed maternity billing changes have already happened (and 90% of payers haven't even announced yet)
Ayo Omojola
Nine of 51 states have confirmed 2027 Medicaid maternity guidance, listed with the plan in each state.
Perspective
October 22, 2026
Medicaid covers four in ten births. We have confirmed 2027 guidance in nine states.
Ayo Omojola
Bar chart titled Payers are all transitioning in their own way, showing nine categories with Date of service highest at 26 confirmed payers.
Perspective
October 16, 2026
9 ways payers are moving off global maternity billing (and which one your patients fall under)
Ayo Omojola
Substrate ARC perspective article cover
Perspective
September 1, 2026
Offshoring Isn't Automation: What It Really Means to Automate RCM
Ayo Omojola