Programa de control de la salud mental
Blue Cross and Blue Shield of New Mexico (BCBSNM) manages behavioral health services for all members who have behavioral health benefits through BCBSNM. Más información
Blue Care Connection® Condition Management Programs
Blue Care Connection Condition Management Programs are designed to help you enhance the care you provide to BCBSNM members with asthma, diabetes, coronary artery disease, congestive heart failure, COPD; and help reduce morbidity and avoid complications associated with these chronic conditions. Más información
Programa Care Van
La iniciativa Care Van es un programa de asociación comunitaria. BCBSNM ofrece el programa sin costo adicional para respaldar los esfuerzos de asistencia de las organizaciones asociadas. BCBSNM emplea para el programa un coordinador de tiempo completo que supervisa el programa, conduce el móvil a los sitios donde se prestará el servicio y brinda asistencia logística básica. The New Mexico Department of Health Public Health Division is BCBSNM's primary partner and uses the Care Van to improve outreach to underserved rural communities throughout New Mexico. Más información
Servicios de administración de casos clínicos
BCBSNM case managers can offer assistance to members and their families who are facing a serious illness or injury. Nuestros administradores de casos son profesionales especializados con los requisitos y el conocimiento imprescindibles sobre los beneficios de los asegurados y derechos del paciente para guiar a los asegurados por lo que en ocasiones puede parecer un laberinto complejo de la atención médica. Más información
Kit sobre obesidad infantil para prestador de servicios médicos
The percentage of overweight children has more than tripled in the last three decades. The incidence of type 2 diabetes has increased concomitantly. In New Mexico, the prevalence of overweight and obesity is particularly alarming. Más información
Recomendaciones de prácticas clínicas
Clinical practice guidelines distill national recommendations down to clinical guides meant to be more useful for practitioners.
Recomendaciones de prácticas clínicas
Referencia de mejora de la calidad clínica
Clinical quality improvement reference is designed to help providers identify changes in the process for delivery of care and services to better meet the needs of our members.
Referencia de mejora de la calidad clínica
Pautas y recursos para la diabetes
Resources were developed by New Mexico Health Care Takes On Diabetes, a collaborative of health care plans and providers. Más información
Consejos sobre HEDIS
We've created tip sheets to help you satisfy Healthcare Effectiveness Data and Information Set (HEDIS) measures and code appropriately. These measures from the National Committee for Quality Assurance (NCQA) help ensure our members receive appropriate care. Más información.
Documentación de registros médicos
Medical Records Documentation Standards
Opioid Resources
Blue Cross and Blue Shield of New Mexico (BCBSNM) recognizes the urgent need to address the opioid use, abuse, and addiction epidemic plaguing our communities. BCBSNM has gathered information to help identify patterns of abuse and addiction, guidelines from the CDC, and more. Más información
Recomendaciones de cuidado preventivo
View the Preventive Care Guidelines for Clinicians as well as wellness guidelines for adults and children. Más información
Telemedicina
En respuesta a la pandemia de COVID-19, Blue Cross and Blue Shield of New Mexico (BCBSNM) amplió el acceso a los servicios de telemedicina para proporcionar a nuestros asegurados un mejor acceso a la atención médica. The experience confirmed the importance of telemedicine in health care delivery. Members can access their medically necessary, covered benefits through providers who deliver services through telemedicine. Many of our members also have access to various telemedicine vendors, such as MDLIVE. Más información