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Researchers: New resources needed to reduce admission variation

Emergency providers determine whether to admit patients to the hospital every day, but a new study suggests that while many of these decisions are consistent and clear-cut regardless of region or hospital, for certain common, low-mortality conditions, some physicians are as much as six times more likely to admit patients than others.

Case managers take note as opioid abuse becomes epidemic

Prescription opioid misuse and abuse is an expensive and dangerous problem nationwide as injured workers stay on the drugs too long, hurting their recovery and dampening their motivation to return to work.

Case managers serve as care coaches for Medicaid-Medicare population

A new Affordable Care Act demonstration project in Illinois has case managers working with a Medicare-Medicaid population to meet their psychosocial needs in addition to monitoring their health.

Care coaches assist Medicaid members

The care coaching model of case management provided through the Medicare-Medicaid Alignment Initiative (MAI) in Illinois provides social support to people at risk for escalating health problems.

Hypertension a risk for many hospital workers

Hypertension is a major risk factor for cardiovascular disease and other leading causes of death, and now a new study has found that some hospital workers have significantly higher risk of developing the disease.

Initiatives target publicly insured young people

A series of case management initiatives to improve the health of their publicly insured young populations has paid off for Horizon/ Mercy.

Sickle cell program prevents ED visits, admits

In the first four months, Horizon/Mercys sickle cell disease management had identified 111 members with sickle cell and started an education program to help them avoid a painful crisis and hospital admissions.

Program gives members tools to manage own health

Thanks to BlueHealthConnection, a new integrated care management program, more than a million members with coverage through Blue Cross Blue Shield of Michigan have just one source for answers about their health care needs.

Reports From the Field: Physicians report frustration with managed care red tape

Sixty percent of physicians responding to a survey by the Pennsylvania Medical Society expressed frustration with eroding patient-doctor relationships and blame lack of time for the problem.

How to face down ethical dilemmas in case management

If youre a typical case manager, you are faced with ethical dilemmas several times a day. The job is pressure-filled. Case managers are under pressure from insurers to contain costs, from employers to return people to work.