Baby Outliers
Who are the baby outliers?
Infant/ Early Mental Health Neglect - $654B
Pediatric Rare Disease - $13B / Year (B-5)
Autism - $66B / Year
Remote Workforce, Health Deserts, Delayed Care
Children with Medical Complexity - $110B / Year
Fertility Benefits 2X NICU Risk - $216M
Jaundice Readmissions - $2B / Year
5% Babies Opioid Exposed - $572M
Dyslexia - Trillions in future costs
63% of children aged 9 - 36 months did not receive recommended developmental screening in the past year. During that time window, 4 episodes of developmental screening and monitoring should occur.
Health plans and employers purchase this critical service for children but too often it is not provided. How are providers/vendors doing in your state?
“The duty to act prudently is one of a fiduciary’s central responsibilities under ERISA. It requires expertise in a variety of areas. A fiduciary who lacks that expertise will want to hire someone with the professional knowledge to carry out those functions. Prudence focuses on the process for making fiduciary decisions, so a fiduciary should document decisions and the basis for those decisions.” - U.S. Department of Labor, Employee Benefits Security Administration (EBSA)