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While Americans still are unhappy on the whole with managed care, hostility and criticism have declined from their peak in 2000,
a new poll by Harris Interactive has found.
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Theres an increased demand for the services of case managers but, at the same time, a shortage of nurses, who typically move into the case management role.
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The personal touch pays off for a health plan, Terri Cox Glassen, RN, MN, asserts.
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During October 2002, case managers from CIGNA HealthCare made hundreds of calls to female members reminding them to get a mammogram and educating them about breast cancer risks.
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Pharmacy data are an integral part of case management of chronically ill patients covered under Horizon/Mercy, with headquarters in Trenton, NJ.
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Everyone knows that inconsistencies in health care can adversely affect patient outcomes, waste time and resources, and ultimately cost the consumer, the provider, and the health plan money.
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Some insurance companies often use surveillance techniques in an attempt to discover fraud in workers compensation and disability cases. When cameras are brought in, case managers should step out in order to avoid ethical dilemmas. But clearly this is easier said than done.
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Dietary counseling can be beneficial for adults with high cholesterol and other risk factors for diet-related chronic disease such as high blood pressure and obesity, the U.S. Preventive Services Task Force has recommended.
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When members call the Blue Shield of California Lifepath Adviserssm line, they can get answers to health and wellness questions from a registered nurse, speak to a mental health counselor, or consult with a specialist on everything from childcare to legal and financial questions.
