Case Management Advisor – February 1, 2013
February 1, 2013
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Preventing readmissions benefits patients, saves money
In a concerted effort to improve patient care, payers and providers are collaborating to improve transitions of care and reduce readmissions. -
Home visits help reduce Medicare readmissions
A program that provides at least one home visit for members who qualify for case management has helped Blue Cross Blue Shield of Arizona Advantage drop its all-cause readmission rate for all ages to 13%. -
CMs make multiple contacts to reduce readmissions
After a program to reduce readmissions showed positive results but not a clear downward trend in readmissions, Capital District Physicians Health Plan (CDPHP) is trying another tactic. -
CMs make multiple contacts to reduce readmissions
After a program to reduce readmissions showed positive results but not a clear downward trend in readmissions, Capital District Physicians Health Plan (CDPHP) is trying another tactic. -
Calls remind members of gaps in their care
To help members of its Medicare Advantage Plan stay healthy, healthcare professionals at WellPoint make individual outbound calls to members with clinical gaps in care to remind them of what preventive measures they need. -
Study: Frequent ED users misunderstood
In an effort to drive down health care expenditures, a key target of state legislatures and healthcare policy makers in recent years has been frequent users of the ED. The thought is that many of these patients are using the ED for routine or non-urgent care when they really should be opting for less-expensive care settings. -
Readmissions are on more shoulders now
You know that you are going to get dinged for any unplanned readmissions related to a patient's original hospitalization. You have probably felt the heat about that for some time and have worked on how to make sure no one bounces back unless it's part of the plan. -
Study: Cases at end of hand-off get less time
A new study, led by researchers at the University of Michigan (UM) in Ann Arbor, suggests that clinicians might not be spending enough time discussing some of the most complex patients when they are handing off these cases during shift changes.