Maternity Case Management

Reduces complications of high-risk pregnancies

Maternity Case Management A high-risk pregnancy, such as multiple births or a birth anomaly, can be a source of extreme stress and anxiety for expectant parents and result in high-cost claims for the health plan. American Health’s Maternity Case Management supports members through this difficult time and helps lower the risk of complications in pregnancy and delivery. Our nurses average 20 years of maternity and neonatal experience. We engage with all key participants as early as possible following identification or diagnosis to assist in the following areas:

  • Education
  • Immediate intervention as needed
  • Adequate preparation and planning
  • Treatment or care facilitation
  • Identification of support groups and systems
  • Providing follow-up and reporting to clients

 

In addition to reducing the risk of additional birth complications, we offer savings to benefit plans by:

  • Minimizing future complications through health management and continuous assessment
  • Providing network steerage
  • Negotiating costs for home health care services if needed
  • Referring cases to Neonatal and Pediatric Case Management after birth, if necessary
  • Reducing the number of work hours lost that result from complications during pregnancy and/or birth

Click here to see our Maternity Case Management key statistics.

 

Product Highlights

  • Dedicated nurses interact on behalf of mother, child and family, offering a complete support network
  • By reducing pre-term births, we have a positive impact on claims costs
  • Cost savings from price negotiations of services and use of alternative settings or services
  • Extensive patient and family education and support through pregnancy and delivery
  • Seamless transition from Maternity Management program when necessary


Testimonials

  • We have been using American Health Holding for many years. From the relationship with our account executive to the quality of service provided, American Health is a knowledgeable and reliable partner.
    Thomas R. Daniel
    Administrator
    New Orleans Employers - International Longshoremen's Association New Orleans, LA
  • I have never been disappointed with American Health's level of customer service. I can't think of a single occasion where we've asked for something and not received it. We are also very appreciative of American Health's Utilization Management reports. They're very informative, concise, comprehensive and user friendly to both the administrators and the clinicians on staff.
    Libby Watkins
    Director of Health Benefits Management
    American National Insurance Co. Galveston, TX
  • The staff at American Health is a valuable resource to our claims administration team. Anything our team at MEBA needs, whether it be questions regarding a precert or the more complex details of a high-cost member in Case Management, the American Health staff is always helpful and knowledgeable.
    Patty Kelly

    MEBA Benefit Plans Baltimore, MD