Partnering with SimpliFed Resource Guide

No prior authorization is needed to refer to us.

We work with commercial, Medicaid, Marketplace and TRICARE health plans to improve access to breastfeeding support at no cost to patients. These benefits improve breastfeeding initiation and duration, as well as health outcomes, clinical quality and member engagement, while reducing cost and utilization.

Healthcare systems or individual practices refer to our baby feeding experts (NPs, IBCLCs, and RNs) who complement in-person care and as needed, refer patients back to in-person services. Our specialists improve patient access while increasing in-person clinic capacity and affirming trusted relationships with parents (our NPS is over 90). Your patients will benefit from increased breastfeeding rates and improved perinatal health outcomes. Collaboration with SimpliFed can range from using easy referrals via our website, to IT integration, to Professional Services Agreements. If interested in learning more about ways to partner, fill out this short form or email us at contactus@simplifed.us.

Yes! We work with healthcare systems across the United States who refer to us as their baby feeding and breastfeeding specialists. We commonly work with OB/GYNs, midwives, pediatricians, nurse practitioners, nurses, care managers, women’s health providers, community doulas, WIC, and primary care providers who refer directly to us during pregnancy or postpartum. We provide ongoing care covered by health plans. If you would like to refer a patient to us, please fill out this short, secure form.

Baby feeding support coverage and benefits vary across payers. However, most health plans cover at least six appointments, starting during pregnancy.

Baby feeding is most successful when parents have some basic information about their options during the prenatal period. We like to start working with parents in late pregnancy to provide baby feeding education, learn about their feeding goals and align expectations. Many parents come to us postpartum as well and may be struggling with latch or supply, have questions about pump schedules, weaning, transitioning back to work, or need help choosing a formula or understanding combo feeding. There’s no wrong time to get judgment-free support!

SimpliFed can serve families in all 50 states across the United States via our virtual services.

Yes! Under the Affordable Care Act, insurers are required to provide comprehensive lactation support and counseling, and supplies at no cost to the patient. Plans cannot charge a patients out-of-pocket costs such as copayments or coinsurance for these services when they are delivered by an in-network provider (and plans must offer a network provider). The Affordable Care Act (ACA) requiring coverage of these services took effect on or after Aug. 1, 2012—for most health insurance plans. Please see this resource from the American College of Obstetricians and Gynecologists (ACOG) for further details.

SimpliFed’s team of providers are highly qualified, vetted lactation consultants, nurses, nurse practitioners, physicians assistants, registered dieticians, and midwives. They are allied health professionals who provide inclusive, judgment-free baby feeding support to new parents whether they are breast/chest feeding, formula feeding, breast pumping, or using donor milk. Our lactation consultants are International Board Certified Lactation Consultants (IBCLCs)and have extensive training and clinical experience with parents and their infants.

Our approach is 100% virtual and designed to complement in-person care and improve provider capacity. We augment access and support continuity of care for parents transitioning between healthcare systems and providers. Telehealth allows patients to access care from wherever works for them, whenever they need it, removing traditional barriers to care such as lack of transportation, difficulty getting out of the house with a baby and other children, alternative work schedules and challenges navigating sparse provider networks.

Throughout the care experience, SimpliFed tracks breastfeeding outcomes, maternal mental health, healthcare utilization, and patient and provider satisfaction. We look at breastfeeding initiation and duration, attendance to well baby visits and postpartum visits according to ACOG guidance, net promoter score (currently above 90!), and postpartum depression screening.

Currently we use Athenahealth for our electronic medical record system, but we also have some custom documentation tools surrounding our care experience, intake forms, clinical documentation of the encounter, and care plan follow-up.

We do integrate with healthcare IT systems and our team has some of the best and the brightest to help facilitate those integrations via FHIR, HL7, or efax if needed. We understand that healthcare IT system integrations take time and are resource-intensive for organizations so we are flexible and will work to provide the easiest and best path forward for your group.

Yes, we share charts and/or the care plan with the referring provider. We share this back via secure message or via a health IT integration. Our goal is to ensure you have the information you need surrounding your patients. Consider us part of the care team supporting you and your patients.