The Cost of Waiting

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

Posted by ProgenyHealth on July 15, 2021 at 9:29 AM

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]

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Managing NICU Claims Before They Trigger a Stop-Loss

Everything your self-insured customers need to know.

Posted by ProgenyHealth on July 8, 2021 at 10:27 AM

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.

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5 Takeaways from a National Virtual Summit

Posted by ProgenyHealth on June 17, 2021 at 11:00 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:

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How NICU Care Management Benefits Employees and Protects Employers

Posted by ProgenyHealth on June 3, 2021 at 12:41 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]

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Are CFOs Targeting their High Cost Medical Events?

Posted by ProgenyHealth on May 13, 2021 at 9:24 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.

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Preterm Births: How High Medical Debt Cripples Productivity

Posted by ProgenyHealth on April 27, 2021 at 9:18 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.

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Are You Ready for the Storm?

Posted by ProgenyHealth on March 3, 2021 at 8:17 PM

Like a perfect storm brewing on the horizon, new studies expect state budgets to be hammered by growing Medicaid enrollment, rising health inequities, and unmanaged Social Determinants of Health.

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Postpartum Medicaid Benefits: A Path to Long-Term Health

Posted by Linda Genen, MD, MPH on January 27, 2021 at 9:31 AM

As states wrestle with COVID-19-related state budget deficits, Medicaid may soon find itself in the crosshairs. While the short-term impact on adult health is significant, the long-term consequences for children are even greater. Medicaid cuts could negatively impact a child over their lifetime – not only for their health but in areas of disability, education, and financial security.

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In 2021, Five Health Trends to Watch

Posted by ProgenyHealth on January 12, 2021 at 9:21 AM

In 2021, our healthcare system will face tremendous challenges but achieve promising breakthroughs. These shifts will profoundly affect the NICU families and clients we serve.

Learn more about how these five leading trends will impact your business in our 2021 brief:

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National Prematurity Awareness Month: Celebrating Successes from a Few of Our Own

Posted by ProgenyHealth on November 10, 2020 at 5:11 PM

November is National Prematurity Awareness Month – a time to recognize the 1 in 10 babies who are born preterm – nearly 400,000 babies each year in the United States.

Even though premature babies miss out on some of the growth and development that happens in the final weeks of gestation, advances in medical science and care support increase the odds that they will live full, productive, and healthy lives.

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