Every day one in eight babies born in the United States arrives too soon. Premature birth can happen to any pregnant woman. It is a serious, common and costly problem. According to the March of Dimes, as of 2008, one in seven babies (15.4% of live births) were preterm in Louisiana. Between 1998 and 2008, the rate of infants born premature in Louisiana increased nearly 5 percent. There is a need for early prenatal care and case management intervention.
The Maternity Management Program is designed to improve pregnancy outcomes, reduce neonatal hospitalizations, and reduce all costs associated with preterm births and other complications of pregnancy. We provide prenatal education, promote safe health behaviors and enhance the management of maternity care for women identified at high risk for premature labor and delivery.
A successful Maternity Management Program is dependent on the coordination of healthcare services and resources. The physician plays a key role in the delivery of the program and this program is intended only to compliment the medical care received by the physician.
Our Care Management team includes physician advisors, registered nurses, pharmacists and behavioral health specialists.
Our Maternity Management Program has two main components.
The program is available to Blue Cross and Blue Shield of Louisiana, HMO Louisiana, Inc. and Federal Employee Program (FEP) primary members 18 to 50 years of age for those groups who have maternity coverage.
The selection is based on hospital claims, encounters, pharmacy data and laboratory data and physician notification or self referrals. We analyze claims data to assess relative health risk, identify medical conditions and provide a member-centric clinical profile
The program is not available to members who have other insurance as primary, are a hospice care recipient or nursing home resident. This is a voluntary program and members may “opt out” of the program at any time.
National Health Mothers Healthy Babies Coalition
American Congress of Obstetricians and Gynecologist
If you wish to contact a nurse to inquire about our programs, please call the Case and Disease Management Unit at 1.800.317.2299.