Virginia Premier™ Partners with ProgenyHealth® for Comprehensive NICU Population Management Services

Plymouth Meeting, PA, February 27, 2019 – ProgenyHealth today announces the launch of its NICU utilization management (UM) and case management (CM) program for Virginia Premier to provide comprehensive services for the health insurance plan’s premature and medically complex infant population. Virginia Premier is a non-profit managed care organization wholly owned by VCU Health System, now serving roughly 265,000 members throughout the Commonwealth.

ProgenyHealth’s data-driven business model empowers its team of neonatologists and NICU nurses to work collaboratively with families and providers across the country to help ensure at-risk infants receive the highest standard of care. The company’s integrated program supports evidence-based best practices, enables timely discharge from the NICU when the infant is clinically ready, and prepares the family for a healthy, safe return home.

John A. Johnson, MD, chief medical officer of Virginia Premier, leads its initiative to improve its members’ NICU outcomes.  “We partnered with ProgenyHealth because they are recognized NICU specialists,” he commented. “These infants represent a very complex, vulnerable population. It’s a tough time for our member families, a challenging situation for providers working in the NICU, and a significant system cost. ProgenyHealth demonstrated their solution is aligned to improve outcomes for all those involved. Their first-year-of-life focus is especially important to us because we know how much the social determinants of health impact mothers and babies alike after they leave the hospital,” he added.

Commenting on the new relationship, Ellie Stang, MD, ProgenyHealth’s founder, president, and chief executive officer, states, “There are so many variables that influence the ultimate health of NICU infants. Premature birth is really just one of many medical and social complexities that our team deals with every day, all over the country. For example, the increased occurrence of neonatal abstinence syndrome (NAS), a direct result of the opioid crisis, is especially high in Medicaid and rural populations. We share our expertise in this area with our hospital-based colleagues so that they have access to the latest evidence-based best practices for treating NAS, and the support of our clinical teams, regardless of the facility or location. We’re proud that Virginia Premier has recognized our value as we begin our partnership together to improve health outcomes for their infant members in the NICU in a collaborative and cost-efficient manner.”

About Virginia Premier

Virginia Premier’s mission is to inspire healthy living within the communities we serve with a focus on those in need.  We do this through innovation, strategic partnerships, industry-leading health care and the power of VCU Health.  In addition to its Medicare and Medicaid plans, Virginia Premier provides third-party administrative services and runs the Virginia Premier Neighborhood health Center in Roanoke.  For more information, visit

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

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