Disease Management Program
Our Disease Management Programs work with employers to improve the healthcare of covered employees with diabetes or heart disease by identifying chronic conditions earlier. We work with members to slow progression of their diseases and decrease complications. Both programs help members learn to better manage their conditions through support, information and medication management.
- Heart Failure Disease Management Program
- Follows the guidelines suggested by the American Heart Association and the American College of Cardiology.
- Diabetes Management Program
- Follows the guidelines suggested by the American Diabetes Association.
Program Overview
- Covered employees have access to a personal Blue Cross nurse who specializes in their disease. This nurse:
- Works with the employee's doctor
- Helps with individualized support
- Provides disease information
- Assists with coordination of care
- Serves as an advocate and disease management coach
- Helps covered employees find qualified physicians
- We review past claims information to identify any covered employee with diabetes or heart disease who may not have received important preventive services.
- We review pharmacy claims information to identify covered employees who can benefit from useful information about medications used to treat diabetes or heart failure and ways to improve medication management.
- With group participation, eligible employees are automatically enrolled; however, participation is voluntary.
Contact Information
Phone: 800.317.2299
e-mail: help@bcbsla.com
