Case Management Advisor – July 1, 2004
July 1, 2004
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Health Advisor program helps members navigate fragmented health care system
As employers contract with multiple vendors to get best-in-class health care services, an employee may have a medical plan managed by a managed care organization, disease management programs handled by a number of specialty vendors, and a pharmacy plan managed by another company. Thats one of the reasons why CIGNA HealthCare began its Health Advisor Program in January as a way to assist employees and their families in navigating the health care system. -
CMs coordinate care for special needs population
Its not unusual for a care manager in Horizon NJ, Healths Care Coordination Unit (CCU) to get a thank-you note or a telephone call from a member or their relative enrolled in the managed care organizations program for publicly insured members with special needs. -
Advocacy, understanding are keys to success
People who are publicly insured need more advocacy than other populations, and the problems they face negotiating the health care system can be compounded when they dont understand the language, points out Pamela Persichilli, RNC, director of clinical operations for Horizon NJ Health, a Trenton, NJ-based managed care organization for the publicly insured. -
Technology, patient-centric care put company on top
A sophisticated technology system helps the 2,400 case managers at Intracorp coordinate the care of nearly 2 million people each year and helps the company track outcomes information. -
DMAA suggests approach for evaluating DM programs
In a quest to meet the growing need for disease management programs to demonstrate their effectiveness, a group of industry stakeholders has come up with a set of processes that can be used to show the outcomes of disease management. -
Group sees potential for telerehabilitation
When Steve Dawson, PT, was first approached with the idea of teletherapy four years ago, he had to laugh. Providing therapy services over a videophone to a patient in a remote location went against the very grain of his profession. -
Health ‘illiteracy’ may cause disparities in care
Nearly half of all American adults 90 million people have difficulty understanding and using health information, and there is a higher rate of hospitalization and use of emergency services among patients with such limited health literacy, states a report released April 8 by the Institute of Medicine (IOM).