Reply to nosey call from BCBS case manager

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Reply to "nosey call from BCBS case manager"

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[quote=Anonymous][quote=Anonymous]I don't know.  CIGNA offers services like these for pregnancy and for complex health conditions.  I use it for my diabetes and I find it very helpful.  Yes, in part it's about the health insurer saving money--a compliant diabetic is a cheaper diabetic--but it's been really helpful to me also.

Does your average DCUM, educated, relatively wealthy mother need it for pregnancy?  Probably not.  But I bet it does help lots of people.  [/quote]

This. I’m a researcher who has studied a lot of programs like this and most health plans have pregnancy related case management. You’re not special if you’re getting these calls, you’re just pregnant and they have a vested interest in trying to make your pregnancy as healthy as possible and you/your baby’s outcomes as good as possible. Yes it’s about costs—they’re a business, that’s the way our health system is set up unfortunately—but it’s also about meeting quality targets. If you’re not showing up at appointments or if they see you have GD they’ll try to intervene. Sometimes they do things like coordinate transportation or help you sign up for WIC, or refer you to a mental health therapist willing to take pregnant patients. I’m not arguing that they’re always going to make a positive difference in your care but for people without a lot of support, resources, or knowledge about pregnancy these programs could help.[/quote]

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