ProgenyHealth® Receives Utilization Management Accreditation from NCQA

Plymouth Meeting, PA, May 12, 2020 – NCQA, the National Committee for Quality Assurance, has recently accredited ProgenyHealth in Utilization Management (UM). At ProgenyHealth, a key focus is to be an added support to the provider community, collaborating to improve neonatal health outcomes nationwide. This approach improves care efficiencies across the continuum, resulting in lower costs. ProgenyHealth’s dedicated UM team works directly with onsite NICU care teams shortly after an infant’s admission to the NICU, promoting high quality, evidence-based care, while maintaining the highest levels of compliance throughout the organization.

NCQA is a private, non-profit organization dedicated to improving health care quality. Achieving NCQA Utilization Management Accreditation demonstrates that ProgenyHealth has the systems, process and personnel in place to conduct utilization management in accordance with the strictest quality standards.

“ProgenyHealth is pleased to receive the accreditation from NCQA for our Utilization Management (UM) processes,” says Dr. Steven Richardson, Chief Medical Officer at ProgenyHealth. “This accreditation level means that NCQA has reviewed all aspects of our UM organization and found them to be ‘Excellent’. While our internal management and audit results have consistently informed us that we are performing at the highest level, it is wonderful to have an independent, objective, external evaluator of quality and compliance with existing standards validate our findings. I could not be more proud of our UM and Quality Management staff!”

ProgenyHealth is grateful for this recognition from the National Committee for Quality Assurance (, and to their UM and Quality Management team for their continued, excellent work.

About NCQA

NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA’s website ( contains information to help consumers, employers and others make more-informed health care choices. NCQA can be found online at, on Twitter @ncqa, on Facebook at and on LinkedIn at

ProgenyHealth empowers our health plan and employer partners to change the trajectory of maternal and infant health outcomes across America. Informed by more than 20 years of experience and patient data, our end-to-end maternal and infant care management solution helps ensure the best possible outcomes for every expecting mother we touch. Our wholly integrated, tech-enabled solution builds a network of support for an uninterrupted continuum of care from prenatal health, through any resultant NICU stay, and all the way to one full year of life.  From the very beginning, we unite early health risk assessment data with self-directed digital tools and dedicated case managers who work tirelessly to connect at-risk moms-to-be with the resources, care, and support they need for a healthier, full-term delivery. Our industry-leading intelligent platform, Baby Trax™, integrates utilization management and case management, while also driving payment validation & assurance activities based on clinical data. By promoting predictable, equitable, and standardized high quality care journeys, we ensure healthier outcomes—and lower costs—across an entire at-risk population. In so doing, we help overcome systemic barriers to support healthier pregnancies and healthier starts to life for all moms and babies, one family at a time. To learn more, visit

Media Contact:

Linda Smith
VP, Marketing & Communications

The owner of this website has made a commitment to accessibility and inclusion, please report any problems that you encounter using the contact form on this website. This site uses the WP ADA Compliance Check plugin to enhance accessibility.