Case Management Advisor – July 1, 2008
July 1, 2008
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Protect yourself from lawsuits, allegations of fraud and abuse
In today's litigious society, it's important for case managers to understand the laws and regulations that affect their practice and to protect themselves against lawsuits and allegations of fraud and abuse. -
Focus on preventive care pays off for health plan
By using state-of-the-art technology to ensure that members receive preventive care measures and rewarding staff, physicians, and members when the preventive services are rendered, Health Plan of Michigan has increased its membership dramatically and is ranked No. 10 among the Nation's Best Health Plans by U.S. News & World Report and NCQA. -
Program rewards members for good diabetes care
UCare's diabetes disease management program that rewards Medicare Advantage members for receiving their recommended examinations and tests has resulted in a decrease in hospitalization and emergency room visits. -
Patient education crucial for underserved population
Lack of access to health care can keep people from learning how to self-manage a chronic disease and how to appropriately use medical care to achieve good health. -
Heart attacks decreased for non-smokers by 70%
After a countywide smoking ban was implemented in Indiana's Monroe County, hospital admissions for heart attacks dropped 70% for non-smokers, but not for smokers, according to a new study. -
Adults need training in preventing child sex abuse
The number of child sexual abuse cases could be dramatically cut by educating adults on how to prevent it from happening, says Nancy Chandler, ACSW, executive director of the Georgia Center for Child Advocacy in Atlanta.