Asthma Care Advances

Managing_Asthma_EPA

Each year, nearly 26 million people are affected by asthma, including 7 million children. The economic impact of asthma alone is estimated at $56 billion annually.[1]  Affecting one in twelve Americans, asthma disproportionately impacts children, racial and ethnic minorities, and low-income adults. 

To help consumers take actionable steps to control their asthma, today’s healthcare system must integrate targeted and effective outreach programs and services for existing and newly insured populations. Research has shown the environmental impact of asthma and poor outcomes based on where one lives, learns, works and plays. With proper medical treatment and control of environmental asthma triggers such as dust mites, molds, pet dander, and secondhand smoke, people with asthma can lead healthy and active lives.

Health Insurance Plan Strategies for Managing Asthma and Reducing Exposure to Environmental Triggers is a multi-year collaboration between America's Health Insurance Plans and the U.S. Environmental Protection Agency. Through this collaboration, AHIP and the EPA are working to identify and promote health plan best practices that align with the National Institute of Health’s EPR-3 asthma guidelines and that take into account the role of environmental triggers that affect asthma. 

With a specific focus on culturally diverse populations, AHIP will accelerate efforts to assess and disseminate innovative health plan interventions that help to prevent the onset of asthma episodes related to indoor environmental triggers and promote evidence-based asthma management strategies. AHIP will conduct two national assessments to examine health plan asthma care programs, design and delivery that improve quality of care, lower health care costs, and reduce racial and ethnic disparities in asthma care. AHIP is engaging with health plan experts and key leaders in a Leadership Roundtable and series of web conferences to identify and promote best practices and demonstrate improvements in asthma care.


Resources

webinars

On-Demand Webinar: Connecting Providers and Communities to Engage Consumers in Asthma Care 
May 20, 2015
As part of a multi-year initiative with the U.S. EPA, AHIP hosted the second in a series of webinars to promote health plan best practices for managing asthma and reducing exposure to environmental asthma triggers. Establishing effective linkages between clinical and community settings is known to improve patient outcomes, especially for at-risk and vulnerable populations. During this 90-minute webinar, health plan leaders discussed successful strategies for collaborating with providers and community stakeholders to effectively engage consumers in monitoring and taking control of their asthma. The presenters described models that are working, and best practices for linking consumers with in-home services to improve asthma care management through use of providers and community based organizations.

Download the session materials

 

webinarsOn-Demand Webinar: Health Plan Strategies for Managing Asthma and Reducing Exposure to Environmental Triggers
January 13, 2015
AHIP, in partnership with the EPA, is collaborating in a multi-year initiative to identify and promote health plan best practices that align with the National Institute of Health’s EPR-3 asthma guidelines and that take into account the role of environmental triggers that affect asthma. This webinar featured health plans that have been successful in implementing culturally sensitive, comprehensive asthma management interventions and have been recognized for delivering environmental asthma management as part of their comprehensive asthma care services.

Asthma infoAsthma Care Advances Infographic
Highlights the asthma impact and gaps in our nation, health plans’ consumer and physician engagement in asthma care management and medications, and the top five strategies commercial and Medicaid plans use to integrate environmental asthma management into disease management programs. 

 


Plans and Programs:

Aetna
Helping People “Breathe Easier:” Aetna’s Asthma Program for Medicaid Members in Delaware
Aetna developed a culturally appropriate, evidence-based asthma program targeting high-risk populations. The goal was to impact ER asthma utilization by improving the quality of asthma care for this population while simultaneously reducing avoidable ER visits in a specific state or region.

AmeriHealth Mercy Family of Companies
Healthy Hoops® - Fulfilling the Promise of Health
Healthy Hoops® focuses on two critical childhood health conditions: asthma and obesity. Healthy Hoops is an NCQA accredited program and is a trademarked outreach program of AmeriHealth Mercy Family of Companies.

Capital District Physician's Health Plan  (CDPHP)
Asthma Care Management Program
CDPHP has developed a number of strategies to remove identified barriers related to knowledge and cost, and to ensure quality asthma care is delivered to their diverse members.

Cigna, Inc.
Chronic Condition Coaching: Asthma
Cigna's innovative Your Health FirstSM solution takes a holistic approach to helping individuals manage asthma and other chronic health conditions. 

EmblemHealth
Asthma Project 
EmblemHealth developed an asthma care management program to increase compliance among members, 5-50 years of age, in their use of controller medications for the treatment of persistent asthma.

Humana, Inc. 
Disparities of Care in Asthma:  Humana’s Solution
Humana’s cultural diversity program seeks to identify disparities among members, target interventions to address disparities, and meet the needs of vulnerable populations with culturally and linguistically appropriate services.

Kaiser Permanente 
The Colorado Asthma Experience
Kaiser Permanente Colorado’s Asthma Management Disease Program, led by RNs known as Asthma/COPD Care Coordinators (ACCs), work closely with primary care physicians on outreach and education resulting in increased medication management.

Neighborhood Health Plan
Asthma Disease Management Program
NHP’s Asthma Disease Management Program (ADMP) focuses on reaching out to members at risk and engaging their providers with actionable, patient-specific data to improve outcomes related to appropriate medication use and reducing hospital-based utilization.

 


1. Asthma’s impact on the nation.  National Asthma Control Program, Centers for Disease Control and Prevention, May 8, 2012. Accessed at: http://www.cdc.gov/asthma/impacts_nation/Asthma_Impacts_Nation_Infographic.pdf