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PROGENYHEALTH


WE’RE TRANSFORMING HEALTHCARE FOR WOMEN, INFANTS, AND FAMILIES WITH AN
INTEGRATED MATERNITY AND NICU CARE MANAGEMENT SOLUTION

Backed by over 20 years of experience, our comprehensive, integrated care
management solution addresses the maternity and NICU challenges facing today’s
health plans.


WHEN EVERY DAY OF A PREGNANCY MATTERS, HEALTH PLANS CANʼT ALWAYS MOVE FAST
ENOUGH

Incomplete medical histories and lagging claims data make it hard to identify
pregnancies early enough to impact outcomes proactively.

The ProgenyHealth platform identifies risks early so we can intervene sooner and
help prevent preterm births, NICU stays, and complications during pregnancy and
after delivery.




MEMBERS NEED PROACTIVE CARE AND ONGOING SUPPORT DESPITE LIMITED RESOURCES

With health plans facing bandwidth limitations on their Utilization and Case
Management teams, ProgenyHealth acts as a trusted partner to oversee a full
maternal and infant care continuum for all pregnant members and NICU infants.

Our end-to-end solution frees critical resources to drive additional impact in
other high-priority areas.




MISSED CONNECTIONS MEAN MISSED INTERVENTIONS FOR EXPECTANT MOMS AND FAMILIES

We identify and engage your eligible members early to deliver attentive support
at every stage of the maternal journey. Those at risk are paired with a
dedicated case manager at the beginning of their pregnancy to help manage
conditions, monitor prognosis, and ensure all available resources are
accessible.

Our case managers create lasting relationships that enhance the member
experience and measurably improve outcomes while optimizing maternal and infant
healthcare economics.


WHERE YOU WERE BORN, LIVE, LEARN, WORK, AND PLAY ALL MATTER – ESPECIALLY WITH A
PREGNANCY

For health plans with limited access to local resources, we solve for the
non-clinical social drivers that can often impact maternal and infant health.

Our team identifies proactive solutions to help ensure that expecting and new
parents – along with caregivers and families – have access to the care and
resources they need to thrive.

Our ongoing efforts help health plans drive equitable, standardized, and
predictable family care.




STANDARDIZE CARE, IMPROVE OUTCOMES, AND OPTIMIZE COSTS WITH PROGENYHEALTH

We support individuals and their families throughout the maternity and NICU
journey to measurably improve enrollment and engagement, drive healthier
outcomes, and optimize maternal and infant health economics.


Contact Us
 * Our Solution
 * Maternity Case Management
 * NICU Care Management
 * NICU Payment Validation & Assurance

 * Who We Support
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DISCLAIMER: ProgenyHealth, LLC is a utilization review entity performing
utilization review and case management services on behalf of health plan and
other channel partners, which produce population health and cost containment
outcomes. Our Medical Directors do not engage in the practice of medicine or the
delivery of any related care; our Case Managers perform telephonic services as
an extension of our health plan, and other channel partners’ services.

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