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.

Read More

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]

Read More

World Prematurity Day Highlights Population on the Rise

Posted by Andrew Meyer, MD on November 15, 2017 at 3:04 PM

November 17th is World Prematurity Day. At ProgenyHealth, our mission is to improve outcomes for this vulnerable population. Prematurity (birth prior to 37 weeks gestation) is the leading cause of death worldwide in children under five years of age. Here are a few facts illustrating why prematurity remains at the forefront of population management agendas.

Read More

A ProgenyHealth Nurse Case Manager’s Tips for NICU Parents

Posted by Natalie Schmidt on November 14, 2016 at 3:57 PM

As we observe Prematurity Awareness Month, one of our nurse case managers shares her tips for parents whose babies are admitted to a Neonatal Intensive Care Unit (NICU) or special care nursery as a result of their premature birth or medically complex condition.

Natalie has been a Registered Nurse for 22 years and 16 of those years were spent in the NICU. Her job was to care for babies that should have been safe and growing in their mother’s womb.  Natalie recalls some preterm babies being so small that they could fit in the palm of your hand. Natalie said that it is so rewarding to help a baby born this small survive, and months later see them go home with their parents. She not only helped tiny premature and medically complex babies survive, but she also supported their families during their child’s NICU stay.  It was her passion to help these families that brought her to ProgenyHealth as a NICU Case Manager.  The NICU is a challenging, very fast paced environment making it difficult for many parents. Here are some things that Natalie learned through her many years in the NICU that she shares with families during what can be one of the most stressful times in their life:

Read More

Provide a short summary of this article here. This summary will show up on the Blog Listing page. 

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