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Discover important industry information, including …

  • How LOS correlates to payment in the NICU
  • Impact of billed charges on payment
  • Discussion of the root causes of payment variation
  • Medicaid and Commercial specific results
  • Impact of Care Management on inpatient costs

These findings have now been independently validated through a study by Milliman focused on APR-DRGs and MS-DRGs inlier cases.


ProgenyHealth logo Written by:

ProgenyHealth is the only national company dedicated to NICU Population Health. The study took findings from ProgenyHealth’s extensive NICU database and independently validated them, with the actuaries/analysts at Milliman, against a national database of over $17 billion in NICU paid claims data.

ProgenyHealth has a proven model that care management done the right way, in collaboration with providers, hospitals and families, leads to significant improvements in health outcomes and lower costs.

Milliman logo With contribution from:

Milliman is among the world’s largest independent actuarial and consulting firms. The company has extensive experience in the payer and hospital market, with a broad understanding of costs trends in healthcare. Milliman is deeply committed to research and data driven solutions to support health care organizations to make informed decisions.