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 Your Clients Covered?

Posted by Ann Kent on April 8, 2021 at 8:55 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?

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Understanding the True Costs of NICU Care: Overlooked Variables That Could be Skewing Your Data

Posted by ProgenyHealth on July 8, 2020 at 2:52 PM

Infants admitted to a hospital’s Neonatal Intensive Care Unit (NICU) are understood to be those born prematurely or with medical complexities, warranting care that, by definition, is more intensive and also more costly than that provided to a healthy newborn. However, accepting the accuracy of this scenario may lead to a significant misinterpretation regarding your NICU population. Specifically, what happens to your analysis when the care of healthy newborns is being billed as NICU services?

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NICU Cost Containment in DRG Environments: What ProgenyHealth Sees that Health Plans May Be Missing

Posted by ProgenyHealth on July 22, 2019 at 10:28 AM

Medical costs for newborns are some of the fastest growing in healthcare - mostly driven by infants requiring NICU services. Such cases represent a small percentage of the newborn population (approx. 15%) but consume a large percent of the total cost of care for this group (>40%). The increasing costs are partially attributed to cases where claims are submitted for the newborn’s NICU admission with a single revenue code level that reflects a higher resource use intensity than is documented in the records for the duration of care, resulting in higher than expected costs to the health plan.

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The Important Role a Lactation Consultant Plays in Helping Mother-Baby Pair in the NICU

Posted by Administrator on August 6, 2015 at 4:28 PM

Every August, World Breastfeeding Week is celebrated in more than 170 countries around the globe. It is an annual reminder to improve the health of babies around the world by encouraging breastfeeding. Breast milk is the ideal food for babies. It is an amazing "brain food," containing more than 200 ingredients that are specifically designed to provide the most idealgrowth and development for the human body. Breast milk is rich in nutrients needed by the baby for brain growth and development.

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