Maternal Health

Envolve's family of companies cares about the health of mothers and their babies. Our maternal health programs are for women who are pregnant and for moms who have just had a baby. We want to help you take care of yourself and your child. 

Health Pregnancy Coaching candidates can be identified through claims data, but we encourage expectant mothers to self-refer once a pregnancy is confirmed.

An introductory letter is mailed outlining the maternity benefits program prior to conducting telephonic outreach. Our engagement specialists are trained in motivational interviewing, as well as your program and culture. 

Through the program, Registered Nurses provide expectant mothers with education and support services to promote healthy pregnancy and positive birth outcomes. Our registered nurses will provide prenatal and lifestyle education, such as:

  • Weight gain guidelines
  • Nutritional requirements during pregnancy
  • Exercise recommendations & safety during pregnancy 
  • Physiology of pregnancy
  • Prenatal depression screening
  • Physical side effects (nausea, constipation, back ache, etc.)
  • Promoting and tracking provider visit information on routine prenatal testing
  • Information on the benefits of breastfeeding
  • Health risks & warning signs
  • Tobacco cessation support
  • Return to work issues

Additionally, our maternity benefits offer one post-partum call, which includes the following (additional coaching sessions through the end of maternity leave are available):

  • Obtain self-reported birth outcomes
  • Provide post-partum depression screen with referrals as appropriate
  • Information on infant care

Support Team

We provide your expectant mothers with a health coach who is a Registered Nurse with obstetrical experience. Your expectant mother works with the same primary coach throughout the program.

Results

In 2015, our coaching program member satisfaction was 96% showing that those enrolled find it of value and help throughout their pregnancies.

Our Value

Through our maternity programming, we combine knowledge and research in behavioral economics with the trusted advice of passionate nurses. We are excited about the opportunity to empower your client’s employees to remove barriers that prevent healthy pregnancies.

Our award winning maternity management program incorporates health and wellness promotion, care coordination, and population-based services to improve the health of moms and their babies. This multi-faceted approach to improve prenatal and postpartum care includes wellness materials and supports the appropriate use of medical resources.

An essential component of the program is the Notification of Pregnancy (NOP) process. The NOP aims to identify pregnant members at risk for pregnancy complications early in pregnancy and to establish relationships between the member, provider, and clinical staff. Based on information obtained in the NOP, we stratify and assign a risk score to provide the most appropriate level of maternal management. We may also mine pharmacy data for prenatal vitamins or other indications of pregnancy, review lab data for pregnancy test and look at visits and coding of office visits from OB/GYN providers to identify pregnant women.

Our program includes wellness programs, educational information, and access to care management to empower woman to be active participants in their wellbeing. Receipt of the NOP triggers the mailing of our Prenatal Care Packet. Maternal benefits members may also access pregnancy and postpartum health information. Notification of the infant's birth triggers our Newborn Care Packet, which includes information for the mother about the postpartum period, as well as caring for her newborn.

Our programs are designed to support soon-to-be-mothers and identify at-risk pregnancies as early as possible to reduce the rate of low birth-weight infants and NICU admissions.

Maternity Management Program highlights include:

  • Health and work-life assessments by experienced registered nurses
  • Referral for high-risk pregnancies to our High Risk Maternity Management Program
  • Telephonic health coaching supported with printed and online educational materials and resources throughout pregnancy
  • Post-delivery follow-up and referrals

Specialty consults with work-life consultants to address issues such as choosing and locating licensed child care providers, return-to-work planning and financial concerns.

Our program is aimed at promoting healthy pregnancy and birth outcomes in pregnant women 18 years of age and older. We identify individuals who are at low risk through the use of client eligibility data, retrospective medical claim data (ICD-9 codes and CPT codes), and pharmacy claim data (NDC codes). This data is used to perform a claims analysis to identify candidates for outreach. Additional methods include referrals from health and wellness vendors, case management, utilization management, physician and self.

Individuals who have been identified as eligible candidates are mailed an introductory letter followed by telephonic outreach.

Our health assessment includes the following components:

  • Relevant medical and obstetrical history
  • Gestational age
  • Medication and supplement use
  • Pre-pregnancy weight/BMI
  • Current weight
  • Tobacco use/exposure
  • Work/life assessment (plans for returning to work, etc.)

This program utilizes health coaches who are registered nurses with obstetrical experience. These health coaches are trained and employ engagement techniques and motivational interviewing skills enabling them to connect with expectant mothers and guide them through life-changing event of pregnancy and childbirth.

Contact Us

Send us your information to talk to a representative.