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Its been more than six years since the Office of Inspector General (OIG) published its compliance program guidance for hospices, listing 28 areas in which hospices are particularly vulnerable to fraud and abuse.
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Members of Blue Cross Blue Shield of Missouris Postpartum Depression Screening Program consistently give the St. Louis-based health plan patient satisfaction scores in the 90th percentile.
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In the first six months of Keystone Mercy Health Plans Healthy Hoops program, which combines basketball and asthma management, the percentage of children in the program with an emergency department visit for asthma fell 26%, the percentage of children with a hospital admission decreased by 8%, and nighttime awakenings decreased by 70% among program participants.
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Occupational health professionals are constantly looking for ways to improve return to work (RTW) for injured or ill employees, but there has been little in the way of research into what makes disability leave, RTW, and stay at work (SAW) plans work or fail.
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Soaring health care costs and an increase in the number of patients with multiple comorbidities or other barriers to compliance represent an opportunity for case managers who have the skills to work one-on-one with individuals to empower them to take charge of their own health care, says Connie Commander, RN, BS, CCM, ABDA, CPUR, national president-elect of the Case Management Society of America (CMSA) and owner and president of Commander's Premier Consulting Corp.
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Tarrytown, NY-based Hudson Health Plan's case management program, aimed at members with chronic diseases or disabilities, has increased the number of members in the program who see a primary care physician or a dentist.
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Fallon Community Health Plan is moving toward a comprehensive case management model in which all its nurse case managers in the outpatient care services department are trained in motivational interviewing and how to determine a member's readiness to change.
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Washington state's new law mandating hospitals provide mechanical lift equipment to safely move and position patients is just the latest sign that nurses are taking charge of their ergonomic health.
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Every morning, a group of congestive heart failure (CHF) patients steps on a scale at home, then answers a series of questions asked by a device attached to their telephone.
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A Missouri hospice has discovered that it is cost-effective, efficient, and it improves length of stay (LOS) and referrals to have a social worker serve as an admissions coordinator.
