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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.
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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.
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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.
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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.
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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.
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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.
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Medicaid beneficiaries enrolled in Anthem Blue Cross' Self-Care Initiative cut their emergency department use for nonemergent conditions in half, earning the Thousand Oaks, CA-based subsidiary of WellPoint Inc. a BlueWorks Award from the Blue Cross and Blue Shield Association.
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Creating a plan of care for a catastrophically injured patient is a little like creating a patchwork quilt you gather up scraps from a lot of different places and stitch it together, says Jolynne "Jo" Carter, BSN, RN, CCM.
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Anna Gibson, RN, CDMS, a case manager specializing in catastrophic injuries and rehabilitation, typically gets a call when a catastrophically injured worker has just arrived at an acute care hospital and has been admitted to the intensive care unit.
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Teaching patients about pain management is an important part of their education, yet many institutions have trouble meeting this education standard required by The Joint Commission in Oakbrook Terrace, IL.
