Program Objective
Giving birth to a baby can be one of life's
most exciting experiences. However, this experience also has
the potential to become an employer's largest single cost:
the birth of a premature infant. With this in mind, Innovative
Care Management developed the Healthy Mother Baby Program in
1992 to promote a healthy and active attitude among pregnant
enrollees. With a combination of personal contact from a nurse
and educational support materials, the Healthy Mother Baby
Program is able to encourage expectant mothers to take the
necessary steps to promote the likelihood of delivering a healthy
baby.
Cost Savings
At an average national cost of $300,000 per
occurrence, the birth of a premature infant is a serious consideration
for insurances and employers. With the Healthy Mother Baby
Program, a proactive option is available to avoid this risk,
while at the same time providing a useful resource for your
enrollees. Compared to the national average, Innovative Care
Management stands out in our ability to proactively reduce
the risk of this significant cost risk. The national rate for
premature births is 12.1%*, and in Oregon the rate is 9.2%,
while at ICM, we are proud to say that our rate for premature
births is 2%. Based on these statistics, ICM can help provide
significant savings.
Average Number and Cost of Premature Births per 1000 Enrollees
| |
National Average |
ICM |
| # of Premature Births/1000 lives |
3.63 |
0.6 |
| Cost/1000 Lives (at $300,000 per occurrence) |
$1,089,000 |
$180,000 |
With ICM, that's a savings of $909,000 per 1000 enrollees each
year!
*CDC, 2002
Program Description
Potential participants for this program
are identified through communications sent out by the employer,
claims via the claims administrator, or information taken
by our Preauthorization Staff. If the patient is between
12 and 28 weeks of pregnancy, the expectant mother is then
contacted by one of our perinatal nurse case managers, given
some information regarding the program, and asked if she
would like to enroll. Once enrolled, expectant mothers are
monitored during their pregnancy and after delivery to ensure
that they and their child receive the services they need
for a successful outcome. While our focus is on educating
the expectant mother, we may also coordinate services with
the patient's physician. Enrollment in the program entitles
the mother to receive a number of services and materials,
including:
-
Risk level determination through early screening
-
Monthly
nurse contact with patient
-
Counseling and pregnancy
education
-
-
Two informational packets
-
-
Free Video & Book Library
-
Follow-up contact regarding
breast feeding, well baby, and preventative
care
Additionally, an employer provided incentive
for the mother to participate in the program has been found
to be most effective to boost enrollment. Typically, a
gift certificate is mailed to the mother at the end of
her pregnancy to go toward the purchase of a car seat or
other necessary items for the newborn. Alternative incentives
include giving a savings bond in the child's name or paying
for the childbirth class expenses. Innovative Care Management
will administrate whatever incentive the employer chooses,
and the employer will then be billed for the additional
cost of these incentives.
The Healthy Mother Baby Team
Our Healthy Mother Baby Program aims to
ensure that expectant mothers have the best information
and advice available, and to that end, Innovative Care
Management currently has 2 RNCs, certified registered nurses
specializing in maternal and newborn health, running the
program. With the aid of the Healthy Mother Baby Assistant,
they are able to provide efficient, quality care to our
patients.
Contact Us
Call Innovative Care Management to ask our sales department
about the Healthy Mother Baby Program or our other programs.
We're here to help you start saving while maintaining the
highest quality care.
General Contact Information:
Innovative Care Management, Inc.
10117 SE Sunnyside Rd., Box F409
Clackamas, OR 97015
Toll Free: 800-862-3338
Portland Area: 503-654-9447
Fax: 503-654-8570
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