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For payers, employers, and clinical partners

Context matters.
So does the math.

Generalist mental health care for specialized populations produces generalist outcomes. Generalist outcomes are expensive.

Mamaya is the specialized mental-health layer for women in transition — pregnancy loss, perinatal, perimenopause, oncology, and other life-stage moments where generalist care measurably fails. We’re built to close cases faster, keep women in treatment, and reduce the fragmentation spend generalist routing creates.

Built to deploy nationwide. Coaching and programs go live nationwide in July 2026 — every covered life, in every state. Licensed therapy is in TN, TX, AR, FL, AL, and GA and expanding; medication management is in Tennessee.

See the case studies →Start a conversation
How the cost cascades

Every woman routed to the wrong clinician sets off the same chain reaction.

When a woman in pregnancy loss, oncology distress, or perimenopause is scheduled with a generalist therapist who doesn’t specialize in her clinical picture, she doesn’t stay in care. When she disengages, predictable things happen — and every one of them shows up on an employer or payer’s claims.

Early drop-out

She quits after 2–4 sessions feeling unseen. The therapeutic relationship never forms. She doesn't re-engage with care for 12+ months.

~$600 in wasted initial sessions

Self-soothing behaviors

Alcohol use rises 25–40% in untreated perinatal loss. Sleep medication misuse, increased smoking, and disordered eating all correlate with untreated life-stage distress.

$1,500–4,000 in downstream health claims

Workplace absenteeism

Untreated perimenopause, perinatal loss, or oncology distress averages 8–14 additional missed workdays annually. For a $75K employee, that's $2,300–4,000 in direct productivity loss.

$2,300–4,000 per woman in missed days

Recurring claims + ED visits

Undiagnosed cases rack up 3–5 specialist consults, 1–2 ED visits, and repeated PCP appointments before proper care is found — often 18–24 months later.

$3,500–8,000 in repeat-care spend

The total range: $7,500 – $16,000 per woman, per episode.

Multiplied across a perimenopausal workforce, a panel of miscarriage patients, or a breast-cancer cohort, silent fragmentation spend becomes a meaningful line item. Mamaya redirects it into care that works — with documented savings of 30–70% of the above.

Case studies

Three scenarios. One pattern.

For each, we walk the same woman through two paths — generalist referral versus specialized Mamaya integration — and quantify the delta. Numbers are conservative industry ranges; see methodology note at the bottom.

Oncology distress

A 47-year-old professional gets a mammogram callback for additional imaging. The 11-day window between callback and biopsy result is one of the highest-distress periods in women's health — roughly 1 in 3 women develop clinically significant anxiety during this wait. The distress doesn't end at the biopsy result; it continues across treatment and survivorship.

Generalist path
  • —2-week wait to see a generalist therapist; by the time she's seen, the biopsy result is already back
  • —Generalist doesn't know oncology-specific distress protocols — treats it as general anxiety
  • —Disengages after 3 sessions; relationship never forms
  • —Self-soothes with alcohol, sleep aids; 2 ED visits for panic over 6 months
  • —Treatment adherence drops 20–25% during active breast cancer protocol — oncologist has to adapt
  • —14 missed workdays over 3 months (~$4,500 at $75K salary)
Total cost range
$9,000 – $14,000
Mamaya path
  • ✓Screener at mammogram callback flags clinical distress
  • ✓Matched with an oncology-trained therapist within 72 hours
  • ✓Evidence-based protocols: MBSR, ACT, narrative therapy for diagnostic uncertainty
  • ✓Stays in care through full treatment course
  • ✓Treatment adherence holds at 95%+
  • ✓Missed workdays drop to 4 over the same 3 months
Total cost range
$2,000 – $2,500
Net impact
$7,000 – $11,500 saved per woman

Pregnancy loss

A 34-year-old experiences a first-trimester miscarriage after IVF. 1 in 4 pregnancies end in loss; roughly 30% of women develop clinical depression or anxiety post-loss; only 20% of those access specialized care. The grief is often dismissed or compared to ordinary grief — which it is not.

Generalist path
  • —OB follows up but has no mental-health infrastructure
  • —She calls three therapy practices — two have 3-week waits, one doesn't take insurance
  • —Starts with a generalist who treats reproductive grief "like a breakup"
  • —Quits after 4 sessions. Alcohol use rises 30% per post-loss literature
  • —7 missed workdays in 2 months; 4 more when she attempts TTC again
  • —Next pregnancy manifests as PTSD — untreated loss correlates with postpartum trauma in 30–40% of cases, extending postpartum mental-health care by 12+ months
Total cost range
$11,000 – $16,000
Mamaya path
  • ✓OB refers directly to Mamaya (partner integration)
  • ✓Matched with a perinatal-loss specialist within 1 week
  • ✓Evidence-based protocols: meaning-making, narrative therapy, grief-specific ACT
  • ✓Returns to baseline function within 90 days
  • ✓Subsequent pregnancy does NOT manifest as postpartum PTSD — preventative impact
  • ✓Care episode closes in 12 sessions
Total cost range
$1,800 – $2,400
Net impact
$9,000 – $13,500 saved per woman

Perimenopause

A 48-year-old executive has been experiencing anxiety, sleep disruption, and brain fog for two years. 80% of women experience symptoms; the average diagnostic delay is 7 years. 20% develop clinical depression during the transition. Perimenopausal productivity loss is estimated at $1.8B annually in the US workforce.

Generalist path
  • —PCP offers SSRI; OB offers birth control pill; psychiatrist offers trazodone; neurologist orders MRI
  • —$3,500 in specialist workups — all normal — still no diagnosis
  • —Develops clinical depression from unmanaged symptoms
  • —Productivity drops; missed workdays exceed 14/year
  • —Reduces work hours or leaves workforce entirely (20% of perimenopausal women do this)
  • —For a senior employee: recruiting + onboarding cost to replace = $50K–100K in direct employer cost
Total cost range
$55,000 – $105,000+ (employer)
Mamaya path
  • ✓Screener at OB or employer benefit flags peri + mental-health signal
  • ✓Referred to Mamaya peri-trained therapist + HRT-literate coordination
  • ✓Diagnosis clarified via STRAW+10 staging in intake
  • ✓Joint care plan with HRT provider (e.g., Alloy) + mental health (Mamaya)
  • ✓Symptoms addressed in 8-week program + 6 therapy sessions
  • ✓Stays in workforce; productivity recovers
Total cost range
$2,500 – $3,200
Net impact
$50,000+ per retained senior employee
Methodology note: cost ranges drawn from BLS absenteeism data, MarketScan claims research on untreated perinatal and perimenopausal distress, oncology distress literature (AMCP & IOM consensus statements), and SHRM replacement-cost estimates for senior roles. Full citations are in the white papers.
The ROI framework

How to model Mamaya against your population.

Every engagement conversation starts with your numbers. Here’s the shape of the math we work through together.

Inputs

What we need from you

  • —Population size + demographic split (reproductive-age, peri/menopausal, oncology cohort)
  • —Claim rate for mental-health + co-morbid medical care in that population
  • —Average claim cost / ED rate / specialist visit rate
  • —Absenteeism estimate or benchmark for the segment
  • —Current mental-health vendor (EAP, insurance panel, or none)
Outputs

What the model tells us

  • —Today's baseline: projected fragmentation spend over 12 months
  • —Mamaya scenario: projected direct spend + avoided claims
  • —Per-woman ROI + payback period
  • —Population-level savings band (conservative → aggressive uptake)
  • —Quality signals: time-to-stability, engagement rate, outcome trajectory
The stepped-care system

Co-sell the program. We tier them up.

Your patients land on a clinically-grounded self-paced program (revenue share on every attributed enrollment). When what they need grows — a human partner, clinical therapy, medication — they tier up inside Mamaya without re-introducing themselves or losing continuity. You stay the referring partner of record across every tier.

Revenue share is program-only; the upper tiers are insurance-billed (therapy, medication management) or cash-pay (coaching), so the economics don’t carve out of clinical care. What you gain is referral-of-record trust: your patient stays cared for, you stay in the loop.

Four tiers · one system

The tier ladder your patients step through.

From content to coaching to therapy to psychiatric care — one intake, one team, one chart.

Programs

Structured content, at your own pace.

You want to understand what's happening and take the first step on your own time.

Self-paced · clinician-built · cancel anytime
$49 / month
Browse programs
“This is bringing up more than I can work through alone.”

Coaching

1:1 support between sessions. Accountability, structure, momentum.

You want a human to show up for you weekly — not clinical care, but real partnership.

Cash-pay · national · no state-licensure limits
Per session · packages available
Browse coaches
“What I'm navigating is bigger than accountability. I need clinical care.”

Therapy

Licensed clinicians specialized in women's life-stage mental health.

You have a mood disorder, trauma history, or clinical need that warrants a licensed therapist.

In-network with most major carriers · TN, TX, AR, FL, AL, GA
Insurance-billed · sliding scale available
Browse therapists
“Therapy alone isn't enough — I think I need medication support.”

Medication management

Psychiatric nurse practitioners with perinatal + menopausal expertise.

You've been told to start an SSRI, or therapy has plateaued and your clinician recommends medication.

In-network psychiatric care · coordinated with your therapist + OB
Insurance-billed
Book evaluation

One intake, one care team, one chart. Tier up (or down) without starting over.

Find my tier →
How we integrate

Four ways we partner.

Embedded screener

Your portal, intake flow, or patient communication embeds our PHQ-2/GAD-2/life-stage screener. Flagged patients get a warm referral to Mamaya — no friction, no additional vendor logins.

Best fit: For clinical partners (OB, MFM, oncology, reproductive endocrinology, menopause)

Bi-directional referral API

HMAC-signed inbound + outbound API connections. You refer in, we refer back when a patient needs a service you provide. Closed-loop audit trail both ways.

Best fit: For health systems, ACOs, and integrated care partners

Employer benefit

Mamaya becomes a benefits line-item for your workforce — for the peri/menopausal cohort, the returning-to-work-after-loss cohort, or the oncology-survivor cohort. Specialty-first, not EAP-first.

Best fit: For employers with 500+ employees and a focus on women's health outcomes

Outcomes-based contract

We agree on time-to-stability, engagement, and claims-cost targets, and price based on hitting them. The contract model that matches our thesis: we only win when your members do.

Best fit: For forward-looking payers + self-insured employers
Partner voices

What our partners say.

Featured partnerHospital-to-Home

Ascension St. Thomas

Perinatal mental-health referral pathway — Nashville, TN. Partnering to close the gap between hospital discharge and continued mental health support for new mothers.

“

Partnering with Amy and the team at Mamaya Health has been an incredibly transformative and positive experience, not just for our healthcare system, but for the women we serve every day. For too long, traditional healthcare has treated women’s physical health in a silo—focusing purely on the clinical aspects of a fertility journey, an oncology diagnosis, or the birth of a child—while leaving women to navigate the profound emotional weight of those milestones alone.

By integrating specialized mental health resources directly into our care models, we are finally offering a true “whole-woman” approach. It is absolutely essential for health systems to build these partnerships because women deserve more than just clinical survival; they deserve to be fully supported through the messy, beautiful, and complex realities of womanhood.

This collaboration allows us to meet women exactly where they are, break down the barriers of anxiety and isolation, and ensure that no woman ever feels invisible in her healthcare journey.

For the full math

Read the white papers.

Three papers: the health-economics case with full citations, the whole-woman-care thesis, and the outcomes methodology we hold ourselves to. Read them now, or ask for a 30-minute walkthrough with our clinical and commercial team.

Read the white papers →Start a partnership conversation