Innovations in Maternity Care Management

Posted by ProgenyHealth on September 29, 2022 at 9:15 AM


One of every ten babies in the United States is born prematurely. Despite advances in medical technology that improve the rate of successful births, maternal morbidity and costs associated with pregnancy and postpartum complications continue to climb.

An Integrated, Whole-Person Approach to Maternity Care Management

Today, integrated maternity management programs are helping organizations reduce premature births and congenital disabilities, lower pregnancy and postpartum-related costs, and improve health outcomes for the mother and newborn.

An integrated maternity program uses a multi-modal approach that includes:

  • Early member identification and engagement
  • Risk stratification using comprehensive assessments
  • App-based support for healthy pregnancies
  • Telephonic case management that includes both pre- and postnatal support
  • Support to solve social determinants of health and ensure health equityDownload the Whitepaper
  • Extended care through the first 12 months after delivery

According to Dr. Ellie Stang, Founder and CEO of ProgenyHealth, “Health plans are partnering with innovators who are more proactive in managing maternity cases rather than reactive. They seek partners who can manage these cases holistically to drive quality outcomes for their members.”

Limitations of Traditional Maternity Management

Early concerns slip through the cracks – Health plans have long offered maternity programs, often focused on high-risk pregnancies. These programs have delivered mixed results due to low engagement and claims-driven identification models that are hampered by data availability and timeliness.

“That’s where we come in,” explains Dr. Linda Genen, Chief Medical Officer at ProgenyHealth. “We can identify pregnant members through Medicaid lists or use our team to reach out to members. We have a 98% enrollment rate from outreach phone calls.”

A Continuum of Maternity Care

Single source care management – Health plans have begun to embrace the entire continuum of maternity care. “I tell health plans, to have a successful program that manages moms and babies, you must have a maternity program plus a program focused on acute care management,” Dr. Stang explained. “We offer the continuum of services needed today, and these services work better together. Even if a traditional health plan has a maternity care management program, they don’t necessarily have deep expertise in managing a NICU case.”

The takeaway – Health plans, providers, and third parties are working together to reduce preterm births by engaging women early in the pregnancy journey. Using an integrated approach backed by personalized case management, a digital app, specialized expertise, and commitment to a new model of care, ProgenyHealth is delivering on its promise of improving the landscape of maternal, infant, and family health.

Download the full report to get more details on how an integrated approach to maternity care management can improve pregnancy outcomes, quality, and costs.

Topics: care management, healthcare quality, Maternal Health

Only a few years ago, health plans faced severe challenges from an influx of retirees coming into Medicare, plus new pressures for plans to participate in risk-based contracts, and the loss of the ACA individual mandate. Those were the good old days.

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