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Case managers and others who work with senior citizens have a new tool to help them advise their clients on appropriate care or living decisions.
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Almost all of the 5.9 million Americans who have diabetes but don't know it could be identified if people with just one risk factor are screened for diabetes, researchers at the University of Texas Medical Branch at Galveston say.
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The pilot project for Anthem Blue Cross and Blue Shields proactive case management program was so successful that the insurer has expanded it to include 16,000 members who will receive intensive, personalized interventions to help them manage their chronic diseases.
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When the leadership team at Anthem Blue Cross and Blue Shield discussed its future medical management strategy in 2001, the team considered that proactive case management would be a major component.
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Extensive outcomes studies to document the value of disease management are necessary to convince the health care industry that disease management is a viable solution to gaps in health care and poor outcomes for people with chronic diseases, asserts Derek Newell, vice president of outcomes measurement and product manager for LifeMasters Supported Self Care, an Irvine, CA-based disease management company.
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Americas aging population and increasingly complex health care system have given rise to a relatively new field geriatric case management.
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Case managers today work in a broader range of venues than ever before. Professionals from a variety of backgrounds are finding that they, too, are practicing in the case management field.
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Frontline access management staff at the University of Texas Medical Branch (UTMB) in Galveston face excruciating tasks on a daily basis.
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Hospitals struggling to survive while absorbing an increasing amount of uncompensated health care are welcoming recent changes to federal patient-dumping legislation that clarify and limit the instances in which hospitals are required to provide care regardless of a patients ability to pay.
