ProgenyHealth: The Cost of Waiting
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 exclusively 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
ProgenyHealth Newborn

NICU focus

The only company dedicated to UM/CM for premature and medically complex infants.

ProgenyHealth Process

Customizable to your plan and population

We adapt our solution to your operations and workflows for fast, efficient onboarding.

ProgenyHealth Savings

Consistent, quantifiable cost savings ROI

12% -16% lower NICU spend.
ROI of 2:1 or better for every customer.

ProgenyHealth Satisfaction

Outstanding member satisfaction

Families tell us that our Case Managers are their clinical and emotional lifeline.

ProgenyHealth Mom and Baby

Infants & Families

Improving health outcomes for
premature and medically-complex babies while helping caregivers in the first months of life

ProgenyHealth and Health Plans

Health Plans

Optimizing quality and reducing costs proactively within any payment environment

ProgenyHealth in the Office


Protecting employees and businesses alike from the exponential impact of
NICU cases

ProgenyHealth NICU Nurse


Aiding our frontline 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:

ProgenyHealth Leveling

Appropriate diagnosis,
NICU leveling, length-of-stay

ProgenyHealth Readmissions

Readmission rates & ER visits​

ProgenyHealth Payment Integrity

Payment Validation & Assurance

ProgenyHealth Social Determinants of Health

Social determinants of health​

How we do it

Our NICU people are NICU specialists. Our process and platform are purpose-built to empower our clinical reviewers with best practices and decision support.

All three pieces are essential. It’s an integrated and comprehensive solution that is proven to improve outcomes and reduce claims costs.

ProgenyHealth Program Overview
Nearly  1 K
NICU cases managed
provider contacts
cost savings roi
for health plans

NICU Insights Blog

The Cost of Waiting

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Managing NICU Claims Before They Trigger a Stop-Loss

People have babies – that’s a fact of life. Some newborns require a few days in the NICU, while others escalate into…

5 Takeaways from a National Virtual Summit

ProgenyHealth recently attended a national virtual summit that brought together health plan leaders from across the health insurance industry to discuss ways…

Get our latest insights on NICU population health management.

Let’s find time to talk about the NICU challenges you are facing.