One big barrier to accessing care during pregnancy and childbirth in low-income countries is cost. MomCare is a new system that seeks to address this issue while also ensuring that the care women receive is high quality. It is a digital platform where costs can be covered in full or in part by a third party payer, including universal healthcare coverage schemes. Payments are linked to service delivery; interactions are transparent and predictable. And the system holds providers accountable by rewarding those who deliver quality services, whether at a public or private facility.