Health plans fail to identify and manage high-risk maternal and NICU cases, leading to missed interventions and unexpected costs

Commercial and Medicaid health plans lack visibility into maternal and infant health risks that fall outside traditional care management programs, resulting in preventable complications, emergency interventions, and cost overruns. Plan administrators struggle to proactively identify at-risk pregnancies and NICU patients before they become expensive acute cases, forcing reactive spending instead of preventive care management.