Maternity Management Case Study

A premature infant girl was born at 28 weeks, weighing 2 lbs, 5oz. The baby did well, was considered a “feeder” and “grower,” and was discharged early due to our efforts.

  • Our Case Manager effected early discharge from in-patient care, normally kept till due date; discharged at 38 weeks, two weeks before anticipated discharge; savings of 14 days in the NICU was $35,000;
  • We steered the patient to PPO Home Care providers for apnea monitor and two skilled nursing visits for teaching;
  • We negotiated the home care Synagis pricing for home administration; price, including skilled nursing, was $800 x 6 doses (AWP -15%) for savings of $240 per dose or $1440 for series;
  • Total savings realized on this case was $36,440