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Americans are not signing up for consumer-driven health plans (CDHP) that offer reduced premiums with higher deductibles of $1,000 or more for employee-only coverage and $2,000 or more for family coverage, according to a recent survey by the Employee Benefit Research Institute (EBRI) and The Commonwealth Fund.
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Hospitals are ill-prepared to cope with even a mild pandemic and are likely to face shortages of staff, protective equipment, bed space, and other supplies.
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The Minnesota Hospital Association (MHA) recently completed a successful pneumonia prevention program for hospital patients on ventilators, crediting it with saving an estimated 53 lives and $7 million in health care costs.
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Under a new holistic case management program at Regence BlueCross BlueShield, one case manager, called a care advocate, follows members along the continuum of care, no matter what their health care needs.
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At Crescent PPO, case managers follow their clients through the continuum, helping them with all of their needs, whether it's disease management, case management, education about a chronic condition, or help navigating the health care system.
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With individuals who are ages 65 and older undergoing almost one-third of the 25 million surgical procedures performed annually, and with people ages 85 and older representing the fastest growing segment of our population, it is important that any surgical program pay close attention to the special needs of older patients.
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Similar to teaching, documentation must meet the needs of a patient. While some documentation is better than no documentation, more detail benefits the patient because it directs staff members on the status of the education process.
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Health plans are beginning to take a holistic approach to managing patient care, focusing on the member's overall health instead of just one condition or episode of care.
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An intensive case management program that provides case management, disease management, and behavioral health coordination for high-risk, high-cost members has resulted in savings of $6.1 million in a 12-month period for Keystone Mercy Health Plan.
