|The ongoing quest to contain health care costs is often hampered by the common misconception that DRG payment methodologies limit the options for Medical Management.
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.
Over the last decade, ProgenyHealth has delivered consistent results to its clients reducing the costs of both inlier and outlier payments across the NICU population. The complexities of DRGs and the premise that all cases with the same diagnosis, and in the same facility always result in the same payment can obscure the realities of DRG payments. These findings have now been independently validated through a study by Milliman focused on APR-DRGs and MS-DRGs inlier cases.