Our Health Services Diabetes Program is designed to reduce the burden of disease due to diabetes by optimizing patient self-care efforts to ultimately improve the patient’s quality of life.
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 diabetes program’s objectives are consistent with those set forth by the American Diabetes Association.
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 diabetes 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.
Diabetes program members are re-enrolled based on nurse assessment for any of the following reasons:
Physicians receive the following when their patient enrolls:
ADA Standards of Medical Care in Diabetes, 2011, January
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.