Ensuring the right treatment at the right time
From NICU admission through post-discharge, our integrated care model supports high-risk newborns with:
- Case management
- Utilization management
- Family engagement
- Access to home health and community resources
Specialized care designed to improve neonatal outcomes
Conducting daily utilization reviews
We conduct daily utilization reviews using evidence-based protocols and peer neonatologist input to ensure appropriate care. Utilization reviews help to reduce:
- Avoidable costs
- Length of stay
- Readmissions while improving outcomes

Providing oversight with case management
Specialized NICU case managers provide oversight from admission through post-discharge, including up to 12 months of follow-up for complex cases. They collaborate with families and providers to support safe transitions and continuity of care.

Empowering caregivers with personalized education
Throughout the NICU journey and beyond, families receive:
- Personalized education
- Emotional support
- Decision-making guidance
This support helps foster peace of mind, satisfaction and improved outcomes.

Bridging the transition of care from hospital to home
To reduce readmissions and support long-term well-being, we connect families to:
- Durable medical equipment (DME)
- Home health
- Behavioral health
- Pediatrician outreach
We address social determinants of health (SDOH) and guide families to ongoing care through neonatal referrals and coordinated support.

Key benefits
Improve outcomes for infants admitted to the NICU.
Reduce length of stay for newborns
Optum nurses educate expectant mothers on available care options —resulting in an 8-9% reduction in length of stay.1
Guide high-risk individuals to better care
Our NICU nurses and medical directors collaborate with hospital teams during the care journey for a 99% positive care experience.2
Reducing readmissions for newborns
Patients enrolled in the Optum program experience a 27% reduction in hospital readmissions.1
Awards and accreditations
URAC accredited
Our program has received recognition from trade associations, regulatory agencies and governing bodies.

Related healthcare insights
Article
Discover how health plans can set aside ad hoc solutions and adopt a comprehensive approach to improve health outcomes and accessibility of fertility care.
E-book
Create meaningful change for the women in your workforce. Learn steps to help close the gap in health equity, improve health and lower costs.
Article
With unique needs, women benefit greatly from a wider array of care options. Payers and employers can reap big rewards by providing them.
Product information and resources
-
PDF
Fact sheet
Neonatal Resource Services
Learn how Women's Health Neonatal Resource Services helps reduce NICU costs while improving member outcomes.
Complementary solutions
Maternity Support Program
OB Homecare Solutions for Providers
Fertility Solutions
- Optum internal analytics, Women’s Health, NRS Commercial book of business results. 2022. ROI varies by product and market. Results not guaranteed.
- Optum consumer NPS Survey, Women’s Health, book of business. 2022.