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The Case Management Society of America (CMSA), based in Little Rock, AR, is changing all that with the development of Case Management Adherence Guidelines (CMAG-1) designed to guide case managers in helping their clients stick to their prescribed medication regimen.
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On July 5, 2002, Baby A was born at a term gestation of 38 week by emergency cesarean due to prolonged decelerations. The infant had Apgar scores of 0/0/0 at 1/5/10 minutes, respectively, and a poor score of 4, 20 minutes after birth.
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A case management program dedicated to infants in the neonatal intensive care unit (NICU) has saved Blue Shield of California an average of four days length of stay off each NICU admission, saving the health plan about $3,500 a day.
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The regional offices of Blue Cross Blue Shield of Arkansas each have their own identity but they follow consistent policies and procedures based on URAC standards for the companys case management program.
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Michigan hospitals track bioterror; Nursing organization adopts 2004 platforms.
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Drawing on its 30 years of experience in employee assistance programs, CIGNA Behavioral Health has begun a new Student Assistance Program to help students adjust to life on a college campus and cope with common behavioral health concerns such as stress, depression, suicide, and alcohol and substance abuse.
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If youre looking for opportunities to enhance your case management career, consider becoming a case management expert witness. As case management comes under closer scrutiny in the legal system, there are more opportunities for case managers to be called on to speak on standards of practice, ethics, and other issues.
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With less than a year left before the HIPAA Security Rule goes into effect, a study by URAC has shown that the majority of health plans are not prepared.
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An automated calling system reminding members to get preventive health care services has paid off for Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ). Instead of receiving a postcard reminding them to go for immunizations, cancer screenings, prenatal and postnatal care, and other preventive health care services, members who are eligible for the services receive a computer-generated telephone call.
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A system that rates cases by acuity level helps case managers at BlueCross and BlueShield of Oklahoma (BCBSOK) keep their workload evenly distributed. Cases are stratified by complexity, with Level 1 being the lowest acuity and Level 5 the highest.
