ProgenyHealth® Receives Utilization Management Accreditation from NCQA

ProgenyHealth NCQA UM AccreditationPlymouth 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

About ProgenyHealth

ProgenyHealth, LLC, is the only national company dedicated exclusively to NICU utilization management and case management. Our neonatologists, pediatricians, NICU/pediatric nurses, and social workers collaborate with providers on behalf of Medicaid and commercial health plans, as well as large employers, to ensure health care services follow evidence-based best practices and are medically necessary. ProgenyHealth’s integrated program has proven effective in managing over 71,000 NICU cases, in over 1,400 hospitals, in all 50 states. We are measurably improving health outcomes for premature and medically complex newborns and delivering quantifiable cost savings to our partners in any payment environment. For more information, visit

Chris Rosa, Director of Marketing

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