Neonatal Resource Services (NRS) helps to ensure the right treatment at the right time for the right level of acuity. It helps reduce health plan costs and provide fragile newborns and their families with the best possible start to their lives together.
One in 9 newborns covered by commercial health insurance are born prematurely.* NRS offers specialized care designed to improve neonatal outcomes by providing:
- Utilization management and provider decision support to reduce costs for infants admitted to a neonatal intensive care unit (NICU) or special-care nursery by assuring appropriate length of stay and mitigating readmissions
- Case management support for families’ safe and timely discharge to home, and up to 12 months of age, based on acuity
- Utilization management and case management of a fragile newborn’s needs from admission to the NICU to post-discharge
- Engagement and education for families, with durable medical equipment, home health care and community resource planning to reduce unplanned readmissions
NRS outcomes**:
- 7.9% reduction in length of stay (LOS)
- 27% reduction in NICU readmission LOS
- 99% consumer satisfaction
- 2–4:1 return on investment
URAC Accreditation for Case Management
October 1, 2023 – July 1, 2026
OptumHealth Care Solutions, LLC
NCQA Accreditation for Case Management
September 3, 2024 – September 3, 2027
OptumHealth Care Solutions, LLC.
NCQA Accreditation for Utilization Management
May 30, 2023 – May 30, 2026
OptumHealth Care Solutions, LLC.
*March of Dimes. Prematurity Campaign: The cost to business.
**Neonatal Resource Services book of business, 2022. Varies by product and market. Results not guaranteed. Individual plan results will vary.
