Audio CD and written materials of AIS's audioconference on December 16, 2004

Health Plan Strategies to Manage High-Risk Maternity Care

Learn about some of the newest and most effective disease and care management interventions implemented by health plans to improve health care and cost outcomes associated with high-risk maternity patients.

Sponsored by AIS's Managed Care Week

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Health outcomes deteriorate and costs increase dramatically when infants are born even just a few weeks before a full-term 37-week pregnancy. That's why health insurers are focusing significant efforts on maternity management programs.

In fact, a recent study in the American Journal of Obstetrics and Gynecology found that a baby born just three weeks early incurs 10 times the expense of a baby carried to term. Premature infants often suffer from respiratory distress syndrome, anemia, jaundice and other conditions, leading to admission to neonatal intensive care units.

The most successful maternity management programs help ensure all mothers have a healthy pregnancy, and direct special attention to those found to be high-risk, to prevent preterm delivery and other complications.

In this 90-minute program, executives from two health plans that have been pioneers in maternity management — AMERIGROUP Corp. and ConnectiCare, Inc. — describe how they designed and implemented maternity management programs, and the health and cost outcomes they have achieved. Both programs were built from the ground up, but AMERIGROUP has an exclusive focus on Medicaid and other state-sponsored programs, while ConnectiCare's program primarily serves commercial members.

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Speakers

MICHAEL MUSCI, JR., DO, MBA is vice president and associate corporate medical director for AMERIGROUP Corp. Dr. Musci is responsible for the company's neonatal program, focusing on the development of medical service initiatives for AMERIGROUP's youngest members. A neonatologist, he recently served as the chief medical officer at Paidos Health Management Services, Inc. (now part of Paradigm Health), a disease management company dedicated to the neonatal population. At Paidos, Dr. Musci was responsible for medical management and quality functions. Previously, he was the medical director for network services at Holy Redeemer Health System in Huntingdon Valley, Pa. He also served as a primary care policy fellow for the Bureau of Health Professionals at the United States Public Health Service.

MAGGIE PERRACCHIO, RN, BSN is a nurse case manager and coordinator of ConnectiCare, Inc.'s high-risk pregnancy program, Birth Expectations. A ConnectiCare employee since 1992, Perracchio assisted in the development and implementation of ConnectiCare's high-risk pregnancy program, which was launched in 1995. She earned a Bachelor of Science degree in nursing from the College of Our Lady of the Elms in Chicopee, Mass. She has more than 15 years experience as a high-risk obstetrical nurse.

Moderator: Jill Brown, managing editor, Managed Care Week.

 

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Written Materials