Improving health outcomes for NICU infants
Comprehensive UM/CM that delivers
Reducing NICU claims costs
In any contract or payment environment
Ensure payment integrity for complex newborn cases
Proactive validation for efficient, accurate claims cycle
NICU cost containment in DRG environments
What we see that health plans may be missing

NICU focus

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

Outstanding member satisfaction

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

Consistent, quantifiable cost savings ROI

10% -15% lower NICU spend.
ROI of 3:1 or better for every customer.

Customizable to your plan and population

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

NICU claim volumes cost percentages

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:

Our 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.

1000 +
NICU cases managed
provider contacts
cost savings roi
for health plans

Who we support

What people are saying

"ProgenyHealth helped reduce our ALOS, reduce outlier days, and keep our readmission rates low. Testimonials from our members are full of praise."

— Health Plan CMO

"The value and benefit of ProgenyHealth to our members’ health and satisfaction alone is worth the cost."

— Health Plan CEO

Let's talk about your NICU challenges...

NICU Insights blog

Social Determinants Demand Holistic Solutions in NICU Care

In September, NICU Awareness Month, we want to acknowledge that many factors outside of “typical” medical conditions demand…

Recognizing the Important Role of Breastfeeding in Infant Care

This week marks World Breastfeeding Week, which is dedicated to the protection, promotion and support of breastfeeding worldwide.…

NICU Cost Containment in DRG Environments: What ProgenyHealth Sees that Health Plans May Be Missing

Medical costs for newborns are some of the fastest growing in healthcare – mostly driven by infants requiring…