Pregnancy Care

Pregnancy Care

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Pre-Term Births Result in Increased Costs• 11% of newborns covered

by employer health plans born prematurely

• Direct health care costs significantly higher for premature babies

• Lost productivity costs average $2,766

Source: Thomson MedStat/March of Dimes, 2006 2

Program Goals» Reduce maternal and neonatal complications

by early assessment, prevention, and early detection of risk factors/conditions

» Reduce admissions or length of stay in neonatal intensive care unit

» Reduce the incidence of pre-term deliveries and low-birth weight infants

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Participant Identification• Claims data• Self-referral• Provider referral• Referral from other Wellmark health

and wellness programs• Referral from IBBP Customer Service

agents

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Preconception Education

» One educational postcard

» Mailed annually to women ages 18-40

» Emphasizes importance of healthy lifestyle

» Identifies assistance and resources available through Pregnancy Care program

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Risk Level Identification

» Initial assessment identifies lifestyle or pregnancy related risk factors

» Participants segmented into three risk levels• Low-risk• At-risk• High-risk

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Outreach for Low-Risk Participants

» Initial telephonic assessment

» Inbound calls 24/7 up to six weeks postpartum

» Mailed educational material(welcome letter and workbook)

» Monthly mailings customized by gestational age of baby (English and Spanish)

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Outreach for At-Risk ParticipantsAll levels of outreach included with low-risk

AND

» Lifestyle behavioral change support based on smoking, stress management, depression, and healthy eating goals

» Assessments for risk level via phone

» Postpartum call to assess outcomes and postnatal depression screening

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Outreach for High-Risk ParticipantsAll levels of outreach included with low-risk

and at-risk

PLUS

» Primary OB nurse model with proactive nursing contact monthly or more frequently based on risk and compliance with treatment

» Collaboration on treatment plan with health care professional

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Participation Gift

» $100 gift card

» Use anywhere

» Awarded after initial telephonic assessment

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