health plans
Maternity economics that finally pay off
Early intervention that turns high-risk pregnancies into healthy, affordable outcomes.
the complete solution
A unified approach to lowering maternal spend
Lucina is an integrated platform that identifies risk, manages care, and supports providers, addressing barriers that impact maternal health and drive up costs.
Manage costs from preventable complications
With 93% mom-baby matching accuracy, Lucina connects maternal complications to downstream neonatal costs, showing which preventable risks drive your highest expenses—NICU admissions, extended stays, and postpartum complications.
93%
mom/baby matching accuracy
Demonstrate measurable equity impact and ROI
Equity-focused care management delivers measurable financial returns: Lucina’s personalized support across diverse populations prevents preterm births and maternal complications, generating approximately $33K in savings per avoided preterm birth while advancing health equity goals.
$33k
savings per avoided preterm birth
Identify pregnancies early enough to intervene
The window to intervene in high-risk pregnancies is narrow. Lucina identifies pregnancies in the first trimester—4x better than conventional methods—using daily precision risk scoring based on 7,000+ factors. Our modeling flags risk for preterm birth, severe maternal morbidity, and NICU admission weeks earlier than traditional methods, giving your care teams time to act.
4x
more pregnancies identified in 1st trimester
Close quality measure gaps affecting HEDIS scores
Surfacing care gaps across 15+ quality measures—including ED utilization, postpartum visits, STI screening, and immunization—to improve quality performance.
15+
quality measures tracked
flexible solutions
Intelligence or intelligence + care
Use Lucina Discover for risk stratification and quality tracking alone, or integrate with Lucina Care to add hands-on care teams that address SDoH barriers and prevent crises.
platform only
Lucina Discover
AI-powered analytics for your existing care management teams, identifying risk early and surfacing care gaps automatically.
Platform + embedded CARE
Lucina Discover + Lucina Care
Our embedded care managers working within provider practices turn risk alerts into prevented complications.
What you see early, you can change entirely
Identify pregnancies early, stratify risk across 120+ condition flags, track quality gaps, and gain visibility into maternal and infant outcomes through 12 months postpartum.
- Rich dataset that drives predictive precision
- Configurable population views and performance tracking
- Customizable SDoH and clinical utilization gaps
Case Study
Reducing NICU utilization through predictive analytics
CareFirst BlueCross BlueShield, a Medicaid managed care plan, approached Lucina with a familiar challenge: delayed identification, limited risk visibility, and no data-driven prioritization.
Lucina’s Impact
Powered by daily intelligence and proactive care management such as tracking emerging clinical signals, real-time risk scores, and enabling earlier engagement, Lucina delivered peer-reviewed reductions in NICU admissions and cost.
29.2%
lower NICU risk
48
fewer NICU admissions per year
528
fewer NICU days per year
98%
probability of causal effect
STUDY CONCLUSION
Equipping care managers with better technological tools can lead to significant improvements in neonatal health outcomes as indicated by a reduction in NICU admissions and NICU length of stay.¹
Scale, speed, and science
Scalable, easy to implement
Published outcomes validation
Part of Unified Women's Healthcare network
The nationwide network of affiliated women’s healthcare specialists in the United States.
TRUE PARTNERSHIP
We're accountable for the outcomes
Generate meaningful savings by reducing preterm births and NICU days
No financial risk to the payer—we only charge a share of costs saved
Fees are based on at-risk case rates, incentivizing quality and cost improvement
6%
reduction in NICU admissions
7%
fewer preterm births
10%
decline in severe maternal morbidity
<1 year
plans report measurable quality gains
Let’s connect
Tell us what you need. We’ll show you what’s possible.
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