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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.
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No matter which Lifepath Adviserssm service Blue Shield of California members choose, they get a comprehensive assessment and a plan of care to help them deal with their problems.
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Member satisfaction surveys give health plans a chance to hear the voice of the customer, says Terri Cox Glassen, RN, MN, assistant vice president of consumer satisfaction for CIGNA HealthCare with headquarters in Bloomfield, CT.
