Health Plans, Purchasers, and Policy Specialists

Highlighted Resources

Insurance Coverage for Asthma: A New England Gap Analysis – December 2010  In order to better understand the extent to which insurance policies in New England reflect and support national guidelines and published research, ARC, in partnership with the CDC-funded asthma programs in the region’s health departments, designed and conducted an insurance coverage survey in the summer of 2010. The survey responses were collected from 25 public (Medicaid) and private (commercial) payers across the six New England states. This report provides a general analysis of the responses and identifies where there are gaps in coverage. With this understanding, ARC and its partners can knowledgably collaborate with public and private health payers to work towards reimbursement policies that will serve to improve health outcomes and simultaneously reduce expensive, preventable, urgent care visits.

Investing in Best Practices for Asthma: A Business Case – August 2010 Update  This report updates our first Business Case published in 2007. Two  primary developments motivated the update. First, the National Asthma  Education Prevention Program (NAEPP) Expert Panel, which is responsible  for regularly updating the national best practice guidelines for asthma  management, and the Centers for Disease Control and Prevention’s Task  Force on Community Preventive Services (CDC Task Force), each published  major reviews—including economic evaluations—of the research on  asthma education and environmental interventions. Second, programs  translating research on comprehensive asthma management into practice  have proliferated. Therefore, in addition to summarizing the NAEPP and  the CDC Task Force reviews, this update describes six evidence-based  programs which are achieving their goals of bringing asthma under  control cost-effectively.

Asthma: A Business Case for Employers and Health Care Purchaser (2010)

The report details three strategies employers can pursue to cost-effectively bring asthma under control: 1) Aligning employee health benefits with recommended best practices for asthma; 2) Supporting employees in overcoming barriers to self-management of asthma; and 3)  Ensuring healthy work environments.  Published by ARC and Lowell Center for Sustainable Production.

Investing in Best Practices for Asthma: a Business Case for Education and Environmental Interventions (2007)  Asthma Regional Council, 2007.

Key Research

Quality-of-Life and Cost–Benefit Analysis of a Home Environmental Assessment Program in Connecticut Connecticut Department of Public Health in Journal of Asthma, 2010.

Housing Interventions and Health Outcomes: A Review of the Evidence by the National Center for Healthy Housing and the US CDC, 2009.

How Environmental Exposures Influence the Development and Exacerbation of Asthma. Etzel, R.A., Pediatrics, 2003.

The Seattle-King County Healthy Homes Project: A Randomized, Controlled Trial of a Community Health Worker Intervention to Decrease Exposure to Indoor Asthma Triggers Krieger et al. American Journal of Public Health, 2005.

Cost-effectiveness of a home-based environmental intervention for inner-city children with asthma. Kattan et al. Journal of Allergy & Clinical Immunology, 2005.

A Randomized Controlled Trial of Asthma Self-management Support Comparing Clinic-Based Nurses and In-Home Community Health Workers. Krieger et. al. Archives of Pediatric and Adolescent Medicine,  2009.

Environmental management of asthma at top-ranked U.S. Managed Care Organizations. Brugge D, Bagley J, and Hyde J. Journal of Asthma, 2003.Krieger et al. The American Journal of Public Health, 2005.

Guides and Tools for Health Plans

Approaches to Asthma Management: An Assessment of Health Insurance Plans  America’s Health Insurance Plans (AHIP), 2005.

Asthma Education Insurance Billing Information: State and Local Guidelines Provided by the National Asthma Educator Certification Board

Breathing Easier: Asthma Management Programs in Health Plans AHIP, 2007

Implementing an Asthma Home Visit Program: A Guide to Help Health Plans Get Started The US Environmental Protection Agency, 2005.

Improving Asthma Care for Children: Best Practices in Medicaid Managed Care From the Center for Health Care Strategies

Taking on Asthma: A Resource Guide for Health Insurance Plans AHIP, 2004.

Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma The National Asthma Education and Prevention Program’s (NAEPP) authoritative guidelines for best practices in asthma management.

“Partners Putting Guidelines Into Action” Guidelines Implementation Panel Report for the NAEPP’s Expert Panel Report 3 – Guidelines for the Diagnosis and Management of Asthma

Learn more about exemplary asthma management plans:

Read about the winners of the EPA’s National Environmental Leadership Award in Asthma Management