UMR Maternity Care

UMR CARE Maternity CARE Knowledge and support for a great start to motherhood Healthier women are more likely to have healthy babies. That’s why it’s important to provide support to women before they become pregnant and throughout their pregnancy. UMR’s Maternity CARE program provides who have extensive clinical back- information and support to women grounds in obstetrics/gynecology. considering having a child, prenatal CARE nurses connect with members education and guidance to those by phone, email or digitally through expecting, and high-risk pregnancy the CARE app. The app allows them to identi昀椀cation to help expectant mothers view individual health metrics from carry their babies to term. The result self-reported data or synchronized is an increased number of healthy, monitoring devices. They can also full-term deliveries, and a decrease connect face-to-face with members in costly, extended hospital stays. via streaming video. Proactive identi昀椀cation An assigned CARE nurse will assess the and enrollment mother’s risk level and provide her with timely education and follow-up support UMR o昀昀ers pre-pregnancy education to based on her personal situation. engage women while they are planning The nurse repeats this process each Program or considering a future pregnancy. trimester and monitors the mother’s enrollment Members self-enroll in the program and progress to determine if she has moved complete a comprehensive assessment into a high-risk pregnancy situation. Mothers enrolled in the with a CARE nurse to determine their After delivery, mothers are contacted program experience risk level. They receive information one more time to make sure there are 50 percent fewer based on their needs and are no postpartum issues. premature deliveries, encouraged to participate in Maternity CARE when the time arrives. The mother may also choose to identify and their costs for care a support person who can be engaged are 50 percent lower than We identify participants through the in the program via an education call and for those not enrolled CARE Health Index on the CARE app, electronic educational packet. in the program. powered by Vivify, medical claims data, utilization review and other program The packet includes information to help referrals. Members may self-enroll them support the member through online at umr.com, or by calling our their pregnancy, labor and delivery, toll-free number. and postpartum. Once enrolled in the program, expectant mothers are contacted by CARE nurses continued >>

Risk-reducing intervention Participants may choose from a selection If an expectant mother is identi昀椀ed as of high-quality print or e-books and other high-risk, she will be placed into our materials containing helpful information Complex Condition CARE program. about pregnancy, pre-term labor, childbirth, The Maternity CARE nurse and CARE nurse breastfeeding and infant care. manager will work together to monitor Members who enroll during their 昀椀rst and co-manage her condition and keep or second trimester and successfully the group informed of high-cost situations. complete the program are eligible to receive The mother will also receive educational a UMR-funded $25 gift card. Members who information and support, as dictated by her wait until their third trimester to enroll are speci昀椀c condition. The CARE nurse manager encouraged to join the program and receive will work to reduce claims costs throughout the the educational o昀昀erings, but are not eligible high-risk pregnancy and post-delivery period. for the program gift card. E昀昀ective incentives Additionally, UMR customers have the option of funding additional rewards To encourage members to enroll early on, directly into their consumer-driven health UMR o昀昀ers an incentive for participation as well reimbursement account (HRA) or health as successful completion of the program. reimbursement account + incentive$ All members who join the Maternity CARE (HRA +) plans. These accounts are an program during their 昀椀rst or second trimester ideal way to provide incentive rewards are eligible to receive a gift of their choice. and create a seamless member experience. For more information about the Maternity CARE program, contact your UMR representative. ©2021 United HealthCare Services, Inc. UM0225 0821 No part of this document may be reproduced without permission.