Blue cross blue shield maternity program

Premature birth can happen to any pregnant woman. It is a serious, common and costly problem. According to the March of Dimes, as of , one in seven babies Between and , 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. 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. 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. Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. BCBSTX makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity.

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