Case Management Advisor – January 1, 2006
January 1, 2006
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Innovative approaches improve care, save costs for Medicaid recipients
Health plans are coming up with innovative ways to coordinate care for the countrys Medicaid beneficiaries, a population whose challenges include almost as many social issues as medical ones. -
Intensive program saves money, improves care
Philadelphia-based Keystone Mercy Health Plan/AmeriHealth Mercys PerforMED, an intensive case management program for high-cost members receiving publicly funded health care, resulted in an adjusted savings of between $80 and $115 per member per month in the first six months. -
Programs for high-risk members save millions
Passport Health Plans care programs for Medicaid beneficiaries has been able to show a cost savings of $191 million for the state of Kentucky in the eight years its been in operation. -
Award-winning program can be duplicated
Community Memorial Hospital in Menomonee Falls, WI, had an occupational health and wellness program that had served its 1,500 employees quite well for many years. But the rocketing costs of health care benefits suddenly meant that Community Memorials occ-health program had to do more. -
Home environment better atmosphere for learning
Education is the backbone of home health care, says Eileen McFadden, BSN, MN, manager of educational services at VNA Home Health Care Services in Spokane, WA. It is through education that the patients goals and outcomes are met. -
Cultural cues important in home health care
When a home care patient is from another culture it is a good idea to learn as much as possible about his or her cultural beliefs before the visit, says Jeanne M. Martinez, RN, MPH, CHPN, former quality and education specialist at Northwestern Memorial Home Health Care in Chicago and now a quality specialist with palliative care and home hospice at Northwestern Memorial.