Neonatal Risk Program
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The increasing number of multiple births, advanced maternal age, expensive technology and rising hospital costs all contribute to a growing nationwide problem of financing neonatal medical expenses. Our single integrated product helps payors effectively address quality, cost and outcome by:
- Providing access to expert clinical support
- Stabilizing cost and pricing predictability
- Improving cash flow
- Removing financial considerations from quality of care issues
- Reducing pressure on reserves
- More accurately budgeting neonatal costs
- Improving balance sheets
PROGRAM FEATURES:
- Benefits for medically complex neonatal hospital admissions
- Covered entities include HMOs, insurance companies and employers
- Individual, small and large group portfolios; Commercial, Medicaid, and Point of Service covered classes
- Pays a case rate for each admission
- Outlier coverage available
- No deductible or coinsurance required
- Premium payable per person per month
- Integrates with existing reinsurance programs
- Built-in clinical and auditing services from the Presidio PULSETM Medical Management Program for high risk pregnancies and medically complex neonates
