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Since Horizon NJ Health plan started its Care Coordination Unit (CCU), a comprehensive, holistic program for Medicaid beneficiaries with special needs in 2000, costs of care for special-needs members have dropped in many cases.
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Home care agencies providing care to pediatric patients must pay careful attention to the competency of the parent caregiver to make sure that he or she is ready for the challenge of caring for a child on a ventilator or a feeding tube.
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A team approach and intensive case management of patients has helped San Francisco General Hospital cut the number of hospitalizations and costs for patients who frequently were hospitalized.
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Presenteeism can seem an almost insurmountable cost of doing business, but a two-year study and project by the Federal Reserve Bank of Dallas (FRBD) shows that reducing the direct and indirect costs of a major cause of lost productivity is possible in a big way.
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Evergreen Healthcare in Kirkland, WA, has used a combination of collaboration with an outside consultant and a diverse in-house team to achieve dramatic reductions in lengths of stay (LOS) and readmission rates for congestive heart failure (CHF) patients.
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Hospital-based case managers are facing mounting challenges today, from the aging of the population and the rise in chronic health conditions to the escalating cost of health care services and advancements in medical technologies. They are especially pressured to ensure that clients have access to cost-effective, appropriate, timely, safe, and efficient health care services.
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As a result of a low-tech, high-touch case management program for women at risk for preterm delivery, preterm deliveries for ConnectiCare, a small, regional HMO based in Farmington, CT, consistently run 10% to 20% below national and regional averages.
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A diabetes management program that combines education, disease management, and case management has resulted in a 19% reduction in hospital admissions per thousand among members with diabetes for Blue Care Network of Michigan.
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With 15% of Medicare patients representing 75% to 80% of Medicare costs, it is no surprise that Section 721 of the Medicare Modernization Act calls for the development of chronic care improvement organizations that address the management of patients with chronic illnesses.
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Return to work (RTW) is one of the occupational health professionals primary services to patients. But RTW is not just about the employee its also about the employer and the workplace. Recognizing that fact can mean the difference between a successful RTW plan and one thats not.
