The purpose of this study is to examine the intervention effectiveness and dissemination of digital health care delivery models for improving selected health outcomes in the Medicaid population.

The investigators will conduct a mixed method study that includes a controlled interrupted times series (CITS) design to study hypertension (HTN) and diabetes, a cohort to study pregnancy, and longitudinal patient and provider interviews to study experiences. This approach is appropriate when randomization is not desirable or feasible and is frequently utilized for evaluation of public health interventions (Lopez Bernal et al., 2018; Hategeka et al., 2020).

Inclusion Criteria:

• Patient of one of four medically qualified health care centers and/or OSF HealthCare as defined by insurance type
• Insured by Medicaid or dually eligible for Medicare or Medicaid
• Has one or more of the three following conditions:

Hypertension, Diabetes Mellitus, or Pregnancy

• Able to read and understand English or read translated materials in language provided (e.g. Spanish)
• Minors who are pregnant and less 18 years of age who are enrolled in the MIC Program

Exclusion Criteria:

• Not enrolled in the MIC Program
• No one will be excluded on basis of sex or race

The study population will be comprised of individuals who are enrolled in a digital health care delivery model for improving selected health outcomes in the Medicaid population. The population will be obtained from the cohorts as listed above. All those enrolled in the MIC program will be strategically identified and used as the population from which to draw the sample for the quantitative and qualitative portions of the study.