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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

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

Measurable Equity

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

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

Measure Gaps

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.

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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.

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
Lucina’s platform scales nationally while integrating seamlessly with existing provider relationships and clinical workflows.
Our results are backed by published, peer-reviewed research validating measurable reductions in preterm births and maternal morbidity.

The nationwide network of affiliated women’s healthcare specialists in the United States.

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TRUE PARTNERSHIP

We're accountable for the outcomes

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Generate meaningful savings by reducing preterm births and NICU days

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No financial risk to the payer—we only charge a share of costs saved

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Fees are based on at-risk case rates, incentivizing quality and cost improvement

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Let’s connect

Tell us what you need. We’ll show you what’s possible.

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1. Shields L B, Davydov Y, Glyder A, et al. (June 22, 2023) Impact of Technology on Neonatal Intensive Care Unit Admissions and Length of Stay: A Retrospective Study. Cureus 15(6): e40813. DOI 10.7759/cureus.40813