The Cost of Waiting

Posted by ProgenyHealth on Jul 15, 2021 9:29:54 AM

How Postponing the Decision to Outsource NICU Leaves Money on the Table

If you work in the corporate world, you understand how bureaucracy hinders decision-making and cripples innovation. Fear of mistakes, the need for control, and aversion to risk all result in lost opportunities for cost-savings, productivity gains, and growth.

For this reason, the Cost of Delay (CoD) has become a critical business metric. According to a McKinsey Global Survey, only 20 percent of respondents said their organization excels at decision making. Most said it was ineffective.[i]

Read More

Topics: Blog, Cost of healthcare, health insurance, NICU team, outsourcing, The Business of Health Care, value of expertise

Managing NICU Claims Before They Trigger a Stop-Loss

Posted by ProgenyHealth on Jul 8, 2021 10:27:39 AM

Everything your self-insured customers need to know.

People have babies – that’s a fact of life. Some newborns require a few days in the NICU, while others escalate into million-dollar stop-loss claims.

Self-insured employers can resign themselves to NICU events as inevitable outliers. They might not realize that NICU claims should be actively managed to avoid reaching the stop-loss point when possible. Many employers have ongoing cases that are quietly escalating and accumulating unmanaged costs. Before cases reach the stop-loss threshold, payers need to offer their customers an extra set of experienced eyes and resources to manage their NICU spend.

Read More

Topics: Blog, care management, Cost of healthcare, health insurance, outsourcing, readmission, The Business of Health Care, utilization review

5 Takeaways from a National Virtual Summit

Posted by ProgenyHealth on Jun 17, 2021 11:00:22 AM

ProgenyHealth recently attended a national virtual summit that brought together health plan leaders from across the health insurance industry to discuss ways to help businesses prepare and prosper from the changes that are both advancing and disrupting healthcare.

Here are Five Key Topics participants addressed:

Read More

Topics: Blog, collaboration, health insurance, healthcare quality, technology, The Business of Health Care, SDOH, Trends, interoperability

How NICU Care Management Benefits Employees and Protects Employers

Posted by ProgenyHealth on Jun 3, 2021 12:41:41 PM

Neonatal Intensive Care Unit (NICU) cases make up a small portion of total births, but when they hit, they hit hard. They can trigger catastrophic stop-loss claims, rack up life-changing bills, and upset the work-life routine. In the U.S., more than 75% of expectant mothers plan to go back to work after giving birth,[1] but once the baby comes home, 43% of them end up leaving their careers.[2]

Read More

Topics: Blog, care management, NICU case management, NICU length of stay, NICU outcomes, NICU team, value of expertise

Are CFOs Targeting their High Cost Medical Events?

Posted by ProgenyHealth on May 13, 2021 9:24:03 AM

CFOs for self-insured businesses know their expenses to the penny – for example, what it costs to lease office space. But, for one of their highest costs – healthcare for their employees – they may be flying blind.

Unlike the predictability of leasing, healthcare costs vary widely. The cost of the exact same procedure might differ based on region, provider, and negotiated rates. Faced with the out-of-control nature of healthcare costs, CFOs of large organizations are finding ways to cut costs.

Read More

Topics: Blog, business, health insurance, NICU case management, The Business of Health Care

Preterm Births: How High Medical Debt Cripples Productivity

Posted by ProgenyHealth on Apr 27, 2021 9:18:28 AM

For a growing number of workers, high deductible health plans are the only option – a trend that started a decade ago.

The idea behind high-deductible plans was to make sure employees had “skin in the game.” If they had to open their wallets every time they visited a doctor, they would be more selective and less wasteful when using their medical benefits. These deductibles range from $5,000 to $6,000, and while monthly premiums typically go down, lower premiums also increase the risk of crippling medical debt.

Read More

Topics: Blog, business, health insurance, NICU case management, The Business of Health Care, postpartum care

Bonding with Infants in the NICU during COVID

Posted by Dr. Kelly Follett on Apr 20, 2021 8:42:49 AM

Bonding with a newborn after delivery is more than a sacred maternal rite of passage. Those first moments and the days that follow the delivery form a strong attachment between newborns and parent(s) or primary caregiver. Even when medical care interrupts this bonding process, smiling faces establish a deep human connection for the infant to feel she is welcome in this world.

Read More

Topics: newborn, NICU outcomes, pediatrics, preterm birth

Are Your Clients Covered?

Posted by Ann Kent on Apr 8, 2021 8:55:54 AM

As an organization offering self-insured options to employers, you likely manage some mix of provider networks, quality of care, utilization management, case management, health care analytics, plan administration and more. But what if one of your clients faced a premature or medically complex birth? Do they have access to specialized NICU Care Management?

Read More

Topics: business, health insurance, healthcare quality, NICU collaboration, NICU length of stay, NICU outcomes, The Business of Health Care, value of expertise

ProgenyHealth and the Path to Data Interoperability

In healthcare, interoperability is the ability of hospitals, health systems, plans and providers to exchange information leveraging standard formats, and to use it once received. Why is this important?

Read More

Topics: healthcare quality, implementation proficiencies, NICU population health, technology, The Business of Health Care, interoperability

World Down Syndrome Day: Celebrating their quality of life and what Down children bring to us

Posted by Kelly Follett, MD and Linda Watt RN, MSN, CCM on Mar 19, 2021 8:41:20 AM

ProgenyHealth joins the United Nations and other organizations to promote, improve, and celebrate the quality of life of Down syndrome individuals.

Read More

Topics: case management, social determinants of health, value of expertise

Get our latest NICU Insights

Every month, we're sharing our experience and perspectives on optimizing outcomes for premature and medically complex infant populations.

Topics covered include:

  • Clinical best practices
  • Turning data into action
  • Managing social determinants of health

Subscribe now!

Recent Posts

Posts by Tag

See all