Our Health Services Asthma Program is designed with an emphasis on strengthening the patient-physician relations, increasing adherence to clinical guidelines.
Blue Cross’ multidisciplinary team of healthcare professionals collaborate to ensure each enrollee receives a “whole-person” approach to their disease management by addressing clinical functional, financial, psychosocial, environmental and support system needs.
The asthma program’s objectives are consistent with those set forth by the National Asthma Education Program sponsored by the US Department of Health and Human Services, Public Health Services and the National Institute of Health (NIH).
The program is available to Blue Cross and Blue Shield of Louisiana, HMO Louisiana, Inc. and Federal Employee Program (FEP) primary members 18 to 80 years of age.
The selection process for our asthma program is based on hospital claims, encounters, and pharmacy and laboratory data. We analyze claims data to assess relative health risk, identify medical conditions and build a member-centric clinical profile.
The program is not available to members who have other insurance as primary, are being actively treated for cancer, a transplant recipient, have ESRD, HIV/AIDs, 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.
Our Care Management team includes physician advisors, registered nurses, pharmacists and behavioral health specialists.
ICSI Healthcare Guideline: Diagnosis and Management of Asthma
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.
Complete the CMDM Referral Form and fax it to 225.298.3184.