Looking For a Doctor or Facility?

Find a Doctor

Cost Management

Cost Management: SmartStarts Maternity

Mary, a mother of two children, was enrolled in MedCost’s prenatal program when she discovered she was pregnant. Her first trimester tests revealed she was carrying identical twins. Mary’s risk factors included a history of hydrocephalus (excessive cerebrospinal fluid) and two previous Cesarean deliveries. 

Mary’s ultrasound at 20 weeks revealed that baby girl A had two soft markers for Down syndrome. Baby girl B had fluid in her kidneys. Mary declined to have amniocentesis. The treatment plan scheduled ultrasounds every two weeks and had Mary on a high protein diet. 

$276,000

The prenatal nurse’s involvement successfully delayed the birth of the twins from 22 weeks to 30 weeks, saving $276,000 in hospital costs. 

The 22-week ultrasound indicated Twin to Twin Transfusion Syndrome (a placenta disease that unevenly distributes shared nutrients to each child). Baby girl A was also in severe heart failure. Mary had surgery the next day to halt blood transfer between twins. After surgery, Mary suffered a number of complications. She was admitted to the hospital at 27 weeks to avoid premature labor and was monitored closely. At 30 weeks, monitors confirmed fetal distress and Mary’s twin girls were born by emergency Cesarean.

MedCost’s prenatal nurse shared online resources and details about Mary’s employee assistance programs. The nurse provided expert knowledge and valuable support especially during the twins’ month in the Neonatal Intensive Care (before discharge). The nurse also communicated with the MedCost claims administrator to update information.

The prenatal nurse’s involvement successfully delayed the birth of the twins from 22 weeks to 30 weeks, saving $276,000 in hospital costs.