The Cost of Waiting
How Postponing the Decision to Outsource NICU Leaves Money on the Table
NICU cost containment in DRG environments
because we see what health plans may be missing
Improving health outcomes for NICU infants
with UM & CM dedicated to NICU
Reducing NICU claims costs
in any contract or payment environment
Payment assurance for complex newborn cases
with proactive validation for efficient, accurate claims cycle
Managing maternal health milestones
Our solutions support your members from conception to birth and beyond.
Customizable to your plan and population
We adapt our solution to your operations and workflows for fast, efficient onboarding.
Consistent, quantifiable cost savings and ROI
Our program is designed to reduce first-time c-sections and pre-term births or lower NICU spend.
Outstanding member satisfaction
Families tell us that our Case Managers are their clinical and emotional lifeline.
Women, Infants & Families
Improving maternal and infant health outcomes, managing premature and medically complex infants, and helping caregivers in the first months of life
Optimizing quality and reducing costs proactively within any payment environment
Protecting employees and businesses from the exponential impact of complex preganancies and NICU cases
Aiding our frontline Obstetric and NICU care delivery colleagues with data and insights to drive better outcomes
Solving the NICU cost vs. quality-of-care challenge
For health plans or employers, the economics are the same: NICU cases are relatively rare, but often complex and very costly. Our singular focus on this population enables us to more effectively manage the variables that impact outcomes, including:
NICU leveling, length-of-stay
Readmission rates & ER visits
Payment Validation & Assurance
Social determinants of health
How we do it
Our Maternity and NICU people are specialists. Our process and platform are purpose-built to empower our team with best practices and decision support.
All three pieces are essential. It’s an integrated and comprehensive solution that is designed to improve outcomes and reduce overall cost of care.
NICU cases managed
cost savings roi
for health plans
ProgenyHealth Insights Blog
- 10 Reasons to Integrate Family Benefits into your Health Plan PackageWith fierce competition for talent, 63% of employees said they would quit their job if another company offered them better benefits but less or equal pay.
- How Payment Validation & Assurance Delivers NICU SavingsPayment validation and integrity by the numbers Unnecessary spending occurs in every industry and setting, especially in healthcare, where even a small percentage of inaccuracy and waste is responsible for hundreds of billions in unnecessary expenditures. These costs are driven by coding errors, mistakes in the level of care, over-prescribed…
- National Social Work Month: Celebrating ProgenyHealth’s Team of “Family-focused” SuperheroesNavigating the stressors of a medically complicated birth can seem overwhelming, even for those that may have good health insurance and few barriers to resources. For families struggling to overcome disparities involving the social determinants of health, like lack of access to basic necessities (e.g. housing or food) or even…