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A Resource Center for Implementing CDC’s 6|18 Initiative

Advancing Medicaid and public health adoption of evidence-based prevention strategies

Control Asthma

The Issue

More than 24 million Americans have asthma, affecting one in 12 children and one in 14 adults. Asthma is particularly prevalent among low-income populations. Further, African-Americans are two to three times more likely to die from asthma than any other racial or ethnic group.

Asthma accounts for more than 439,000 hospitalizations, 1.6 million emergency department (ED) visits, and 10.5 million physician office visits annually — costing private insurance, Medicaid, Medicare, and other sources an estimated $62.8 billion in 2009.

CDC’s 6|18 Initiative Success Story

Rhode Island: A Business Case for Asthma Home Visiting Services.
Read more »  |  Other successes »

 

Plan an Evidence-Based Intervention

Following are asthma control interventions identified by the CDC as having a proven evidence base for improving health outcomes and controlling health care costs:

  • Use the 2007 National Asthma Education and Prevention Program as clinical practice guidelines.
  • Promote strategies that improve access and adherence to asthma medications and devices.
  • Expand access to intensive self-management education by licensed professionals or qualified lay health workers for patients whose asthma is not well-controlled with medical management.
  • Expand access to home visits by licensed professionals or qualified lay health workers to provide intensive self-management education and reduce home asthma triggers for patients whose asthma is not well-controlled with medical management and self-management education.

Evidence Summary: Control Asthma

Download the CDC’s evidence summary that outlines key cost and health information for payers and providers, as well as demonstrated outcomes for each of the above interventions.
 

Explore Implementation Resources

The following resources can help payers, state officials, and providers to implement high-opportunity asthma control interventions. Does your state/program have resources to share? Send an email to 618@chcs.org.

See also CDC’s asthma program web page.

Business Case

Benefits and Coverage

  • Asthma Care Coverage Database – Searchable database includes guidelines-based asthma care coverage by state Medicaid programs (including quick relief medications, controller medications, devices, allergen testing, allergen treatment/allergen immunotherapy, home visit, and self-management and education). (American Lung Association)
  • Medicaid Coverage of Asthma Self-Management Education – Brief examines Medicaid coverage for asthma self-management education in 10 states, including the range of services, providers, and settings covered by Medicaid plans. (American Lung Association, June 2017)
  • Missouri’s State Plan Amendment – Document includes Missouri’s approved state plan amendment that added asthma education and assessments to the state plan.
  • Missouri’s State Plan Amendment – Health Home – Document includes Missouri’s approved state plan amendment that added additional chronic care conditions as qualifying conditions for Primary Care Health Home participants.

Payment and Reimbursement

Asthma Management Programs (home visit and health plan programs)

Provider and Managed Care Organization Engagement

Measurement and Evaluation

State Examples

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