Molina Healthcare, Inc. (“Molina”) recently shared some notable results of a groundbreaking health care model that uses artificial intelligence (AI) to impact the full cycle of obstetrical care, from early pregnancy detection to post-NICU community-based care management.
The result of a partnership between Molina, Lucina Analytics, and Progeny Health, the new model demonstrated results in nearly 150,000 patients over an 18-month period, including an 8% decrease in preterm births compared to national trends, an 8% reduction in NICU admissions, and a 9% reduction in total days in the NICU. In addition, the model has led to a 60% decrease in racial disparities in preterm births for Black mothers.
AI, powered by Lucina Analytics, allows caregivers to spot previously undetectable pregnancies and implement a first-trimester visit at a rate of up to 80%. “The power of this tool has allowed us to ensure appropriate delivery of prenatal care and improve birth outcomes, especially in minority populations,” said Dr. Jason Dees, EVP and chief medical officer, Molina Healthcare, Inc.
When a newborn requires NICU care, it is imperative that the infant and the family are supported during this stressful journey. “The importance of early care management with engagement of both the NICU team and family is significant,” said Dr. Linda Genen, chief medical officer at Progeny Health. “That’s why we follow the babies closely and partner with their high-risk OB/GYN care manager when needed, if they were engaged pre-delivery.”
Use of AI does not stop at delivery in this unique model; it continues to provide benefits for up to 365 days post-delivery. “We are supporting moms in the critical months after birth, helping address the heartbreaking trends in maternal morbidity and mortality,” shared Dr. Matt Eakins, president of Lucina Analytics. “We assist with birth spacing, screen for postpartum depression, and catch conditions before they are out of control.”
“Molina is proud of our partnership with Lucina and Progeny and thrilled with the outcomes we have seen with regard to improvements in maternal and child health,” continued Dr. Dees.
About Molina Healthcare
Molina Healthcare, Inc., a FORTUNE 500 company, provides managed healthcare services under the Medicaid and Medicare programs and through the state insurance marketplaces. Molina Healthcare served approximately 5.3 million members as of March 31, 2023, located across 19 states. For more information about Molina Healthcare, please visit molinahealthcare.com.
About Lucina Analytics
Lucina Analytics is a subsidiary of Unified Women’s Healthcare, a nationwide community of providers, operations specialists, and thought leaders who look for the greatest opportunities to improve every woman’s health, at every stage of her journey. Lucina’s AI women’s health platform supports innovative health plans, Medicaid providers, and public entities to improve birth outcomes and create healthier communities.
About Progeny Health
Progeny Health empowers our health plan and employer partners to change the trajectory of maternal and infant health outcomes across America. Informed by more than 20 years of experience and patient data, our end-to-end maternal and infant care management solution helps ensure the best possible outcomes for every expecting mother we touch. Our wholly integrated, tech-enabled solution builds a network of support for an uninterrupted continuum of care from prenatal health, through any resultant NICU stay, and all the way to one full year of life. From the very beginning, we unite early health risk assessment data with self-directed digital tools and dedicated case managers who work tirelessly to connect at-risk moms-to-be with the resources, care, and support they need for a healthier, full-term delivery. Our industry-leading intelligent platform, Baby Trax™, integrates utilization management and case management, while also driving payment validation and assurance activities based on clinical data. By promoting predictable, equitable, and standardized high-quality care journeys, we ensure healthier outcomes — and lower costs — across an entire at-risk population. In so doing, we help overcome systemic barriers to support healthier pregnancies and healthier starts to life for all moms and babies, one family at a time. To learn more, visit www.progenyhealth.com
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Contacts
Rhonda Frazier, Rhonda.Frazier@MolinaHealthcare.com, 562-980-3849
