-
-
-
When Peter Moran, RN, CM, BSN, MS, CCM, was a case manager for a payer organization that was considering cutting personnel, he was able to document that case management interventions netted his organization $190,000 in hard cash savings over the course of three quarters.
-
A team approach to managing patients who are likely to be high utilizers of health care resources has paid off at HealthCare Partners, a large multispecialty medical group in Los Angeles County serving more than 450,000 patients.
-
Educating the internal staff was the first step in Highmark Blue Cross Blue Shields Advance Care Planning/End-of-Life Care program.
-
When case managers at Highmark Blue Cross and Blue Shield talk to their members, they take steps to ensure that the members have advanced care-planning documents in place.
-
The 2002 version of the Case Management Society of Americas (CMSA) Standards of Practice are designed to reflect the role of the case manager in the changing health care system.
-
There is an us-vs.-them scenario that occurs in health care, and the case manager sometimes is caught in between, trying to make sure the patient gets appropriate care, says Susan Gilpin, JD, chief executive officer of the Commission for Case Management Certification in Rolling Meadows, IL.
-
Quality ratings for hospitals, health plans, and physicians have almost no impact on the choices consumers make, a new study by Harris Interactive has concluded.
-
The move to limit the use of allergy and asthma drugs by increasing copayments, restricting access to newer drugs, and requiring preauthorization for their use may have had an adverse impact on allergy and asthma patients, according to the American College of Allergy, Asthma, and Immunology (ACAAI).
