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Using a combination of telephone calls from certified case managers, written materials, self-monitoring tools, and reminder messages to physicians, Univera Healthcare is helping members learn to monitor their chronic diseases.
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Humanas Personal Nurse training program includes one component that many disease management programs leave out recognizing that people are willing to work on changes according to their own values and not according to the values of an external agent, such as a case manager, Vaughn Keller, MFT, EdD, asserts.
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When it comes to disease management programs, Kathy Cartelli, director of disease management for PacifiCare Health Systems Inc. recommends hiring experts.
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When PacifiCare Health Systems Inc. decided to expand its disease management programs, the Cypress, CA-based insurer looked at all the options and decided to contract with vendors who were experts in their field rather than developing the comprehensive programs in-house.
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Centralizing all of its disease management programs has paid off for Aetna.
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The case management department of Blue Cross and Blue Shield of Rhode Island has taken a unique approach to ensuring the physicians will collaborate with their case managers they pay them for their time.
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The Dr. Dean Ornish Program for Reversing Heart Disease is a dramatic lifestyle change for most people who have coronary artery disease or are at risk for the condition.
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At Highmark Blue Cross Blue Shield, case managers are a vital component of the companys Dr. Dean Ornish Program for Reversing Heart Disease.
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In a complex and often confusing health care arena, case managers are an important resource for patients who need access to the right care at the right time. As they provide services for catastrophically ill or injured individuals or those with chronic illnesses, including elderly patients, case managers may be working more frequently with another group of specialty practitioners: life care planners.
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As she takes office as the 14th president of the Case Management Society of America, Sherry Aliotta, RN, BSN, CCM, is determined to make sure case managers no longer are the best kept secret in health care.
