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Solution suite

Neonatal and NICU Support Programs

We can help improve clinical outcomes for infants admitted to the neonatal intensive care unit (NICU) and assist families in preparing for their new caregiver roles.

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.

NCQA Accredited Case Management logo

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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.

    Download fact sheet

Help families get the best possible care for their babies

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  1. Optum internal analytics, Women’s Health, NRS Commercial book of business results. 2022. ROI varies by product and market. Results not guaranteed.
  2. Optum consumer NPS Survey, Women’s Health, book of business. 2022.