Case Management Advisor – October 1, 2013
October 1, 2013
View Issues
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Pay attention as patients move through the continuum
Gaps in care and miscommunication may occur when patients move between levels of care, sometimes resulting in adverse outcomes. -
Transition care, in-home visits pay off for health plan
Florida Blue saved almost $2,500 a month per participating member when physicians and nurse practitioners visited at-risk members at home. The program now includes more patients. -
Outreach workers support members at highest risk
CareOregon's community outreach workers work with members at highest risk and help them get the psycho-social assistance and medical care they need. -
CM, benefits collaborate to ease transitions
In order to improve transitions between levels of care, CareOregon has developed several initiatives to ensure that members get what they need after discharge. -
CMs assist with transitions for at-risk members
Cigna case managers follow members at risk of readmission for 30 days to improve transitions. -
Take steps to fully leverage case managers in the ED
CMs become integral part of the care team