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Often in health plans, disease management is in one silo, case management is in another, pharmacy management is in another, and they may not interrelate.
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At Oxford Health Plans based in Trumbull, CT, 3% of its members account for half of the plans medical costs.
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The occurrence of medical errors made by health care providers against patients has been at the forefront of the media in recent years.
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The Agency for Healthcare Research and Quality (AHRQ) has developed a new web-based tool that can help hospitals enhance their patient safety performance by quickly detecting potential medical errors in patients who have undergone medical or surgical care.
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Changes are needed in the education of physicians, nurses, and other health professionals to improve patient safety and quality of care, according to a new report by the Institute of Medicine (IOM) in Washington, DC.
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The Center for Health Care Strategies (CHCS) in Lawrenceville, NJ, has given 10 grants of up to $50,000 each to consumer organizations representing people with chronic illnesses and disabilities for projects that will increase access to services and enhance consumer capacity to navigate the Medicaid managed care delivery system.
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A proposal by health policy experts Karen Davis, president, and Cathy Schoen, vice president, for health policy, research, and evaluation for the Commonwealth Fund in New York City, suggests a framework through which automatic, affordable health insurance could be provided to nearly all Americans.
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Given the complex set of opinions handed down by the U.S. Supreme Court in its 6-3 vote allowing work on Maines prescription drug program to continue, states have been forced to try to determine what impact the decision will have on their efforts to control pharmacy costs and to make cost-effective drugs available to those who need them.
