Maternity Management Program Frequently Asked Questions

1. Why should I provide access to Maternity Management services to my health plan members?
2. What can the health plan do to prevent the high costs generated by preterm births?
3. What does the Maternity Management Program do to combat the high costs generated by preterm births?

1. Why should I provide access to Maternity Management services to my health plan members?

Most simply, our extensive experience with health plans proves that women with access to our services have better pregnancy outcomes, which also means significant healthcare cost savings. We offer:

• Experience with more than 200 managed care plans and 500,000 patients
• Dramatic maternity cost savings based on neonatal intensive care unit (NICU) days per 1,000 births
• Data on clinical outcomes:
  • Preterm birth rate
  • Preterm births beyond 35 weeks
  • Low birth weight rate
• Data on key cost drivers:
  • NICU admission rate
  • NICU average length of stay
  • NICU days per 1,000 births
• Our infrastructure:
  • Staff
  • Systems
  • Data repository
  • Quality management
• Our marketing support:
  • Field sales force
  • Camera-ready artwork for internal marketing

2. What can the health plan do to prevent the high costs generated by preterm births?

• Provide easy access to prenatal care for all pregnant women
• Identify pregnant women with risk factors
• Practice proactive case management
• Encourage early intervention

3. What does the Maternity Management Program do to combat the high costs generated by preterm births?

• Encourage education, counseling and health promotion for all pregnant women
• Assess all pregnancies for risk
• Educate patients on the abnormal symptoms of pregnancy and provide behavior modification
• Stress the importance of utilizing our 24-hour information line when abnormal symptoms appear and persist
• Assist the health plan's case management by alerting managers to pregnant patients with abnormal symptoms or risk factors