Statewide initiative with the Ohio Association of Community Health Centers, CareSource, and Humana more than doubled Pregnancy Risk Assessment Form submission rates, accelerating identification of high-risk pregnancies and strengthening Medicaid continuity
BURLINGTON, Mass. — [April 30, 2026] — Azara Healthcare, the four-time Best in KLAS provider of population health and value-based care solutions for the safety net, together with the Ohio Association of Community Health Centers (OACHC), CareSource, and Humana, has received a 2026 KLAS Points of Light Award. The award recognizes the collaborators’ work to automate the creation and submission of Pregnancy Risk Assessment Forms (PRAFs) across Ohio, which more than doubled statewide submission rates and accelerated the identification of high-risk pregnancies covered by Medicaid. The collaboration is documented in case study titled “Improving Maternal Health in Ohio via Interoperability & Incentivized Care.”
Before the initiative, only about 30% of PRAFs were being submitted statewide, leaving many Medicaid-covered pregnancies unreported to the state and delaying the identification of high-risk mothers. Physicians were completing PRAFs on paper or in standalone web forms, manually locating and re-entering information already documented in the EHR, a process that routinely took 15 to 20 minutes per patient.
To solve the problem, OACHC convened community health centers, seven Managed Care Organizations including CareSource and Humana, the Ohio Department of Medicaid, the Ohio College of Medicine Government Resource Center, and Azara Healthcare. The MCOs jointly funded a single electronic PRAF (ePRAF) solution so provider partners would not bear implementation costs. Azara added a new module to the existing Ohio Data Integration Platform, powered by Azara. The additional tool automatically populates ePRAFs using data already documented in the EHR and securely transmits the information to ODM’s NurtureOhio portal.
“For safety-net providers caring for Ohio’s most vulnerable mothers, the barrier to better maternal outcomes has never been a lack of clinical insight—it’s been the administrative burden of getting that insight into the right hands in time to act on it,” said LuAnn Kimker, SVP of Clinical Innovation at Azara Healthcare. “By automating the PRAF workflow inside the tools providers already use every day, we’ve ensured that high-risk pregnancies are identified and coordinated earlier. This is what interoperability looks like when it’s built around the clinician and the patient, not around the form.”
The results have been significant. -
The KLAS Points of Light Award recognizes successful collaborations between payers, providers, and healthcare technology companies that have led to measurable improvements in patient experience, cost, and efficiency.
Building on the initiative’s success, the collaborators plan to extend automation across the pregnancy continuum, including additional PRAF submissions triggered by changes in maternal risk, and the electronic capture of delivery and postpartum data. The ePRAF model is also positioned as a replicable blueprint for other states and for additional Medicaid and public health reporting use cases.
The full case study is available here.
