Case Management Advisor – December 1, 2003
December 1, 2003
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Proactive interventions cut hospitalization rate dramatically
Since Harvard Pilgrim Health Care, based in Wellesley, MA, started its Health Advance care management system to intervene with at-risk members before they require intensive medical services, the hospitalization rate for members in the program has been cut in half. -
Program helps members take control of their health
Involving members in goal setting and getting them to take personal responsibility for their own health are keys to the success of Harvard Pilgrim Health Cares Health Advance Care Management system, according to Liz Estabrook, RN, manager of care management for the Wellesley, MA-based health plan. -
Social work CMs help members connect
The publicly insured members covered by Horizon-Mercy often have psychological and social needs along with their medical conditions. To better serve these needs, the Trenton, NJ, health plan for the publicly insured started a social work program in May 1997. -
Initiative helps health plan beat national averages
A comprehensive asthma management program has paid off for Care Choices HMO of Farmington Hills, MI. -
New approach helps members manage disease
Independence Blue Cross takes a three-pronged approach to helping members manage their health care with its newly expanded Connections SM Health Management Program. -
Collaboration helps get members back to work
Through a team approach that involves case managers, vocational rehabilitation counselors, and on-site job coaches, CIGNA Group Insurance has developed a successful return-to-work program for members who are severely injured or experience debilitating illnesses.