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Case managers at Presbyterian Health Plan in Albuquerque, NM, conduct monthly cost-benefit analyses to help demonstrate the benefits of their interventions.
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Nurse triage services offered by health plans can improve members access to care, reduce unnecessary or avoidable emergency department (ED) and physician office visits, improve members satisfaction, and proactively identify members in need of case management or disease management services.
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A truck driver for a large freight company was hundreds of miles from home when he began having chest pains.
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HealthPartners of Minneapolis has created a program that bridges the gap between the health plans member services line and the after-hours nurse triage line.
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More than 6.5 million adults and 3.2 million children have an asthma attack each year, according to data collected in 2000 by the Agency for Healthcare Research and Quality (AHRQ).
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The 32.7 million patients in the nations hospitals in 2001 had a much shorter average stay (4.9 days) than patients in 1970, who were hospitalized for an average of 7.8 days, according to the National Hospital Discharge Survey from the Atlanta-based Centers for Disease Control and Prevention (CDC).
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The majority of hospital report cards created by employer groups do not improve the quality of care, according to a new report.
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Medicaid recipients with disabilities who direct their own supportive services were significantly more satisfied and appeared to get better care than those receiving services through home care agencies, according to a demonstration project supported by the U.S. Department of Health and Human Services and the Robert Wood Johnson Foundation.
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Patients with traumatic brain injuries are turning to complementary and alternative medicine (CAM) therapies to supplement conventional medical care, but the majority is not discussing it with their physicians, a new study has concluded.
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When members call a nurse triage line about a health problem, theyre at a teachable moment when they are receptive to taking action about their conditions, Kevin Maher, RN says.
