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Keystone Mercy Health Plan, Pennsylvanias largest Medicaid managed care plan, takes a proactive approach to preventing and managing illnesses, injuries, and utilization among its 285,000 members by providing targeted case management and outreach to members with chronic conditions.
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Planning is something Americans do on a regular basis. They plan their vacations. They plan for the birth of a new baby. They plan for retirement. And they even plan for death. Yet few plan for the aging process.
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A new study by Philadelphia-based CIGNA confirms what a number of health care professionals have been asserting: the integration of disability and health care programs can help return disabled employees to work more quickly, or even prevent absences, and also can lower total benefit costs.
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Using a combination of telephone calls from certified case managers, written materials, self-monitoring tools, and reminder messages to physicians, Univera Healthcare is helping members learn to monitor their chronic diseases.
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You may not be an architect, but it might be time for you to start paying a little more attention to the way your hospital is designed especially if youre about to have a new facility built or youre embarking on a substantial renovation.
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The Joint Commission on Accreditation of Healthcare Organizations 2005 National Patient Safety Goals that will apply specifically to hospitals have been finalized but many eager quality managers didnt wait for this news to take action.
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As often occurs when new Joint Commission on Accreditation of Healthcare Organizations standards are introduced, hospitals are rushing to complete failure mode and effect analysis (FMEA) projects to comply with patient safety requirements.
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Its without question one of the most tragic things that can occur at any hospital: An infants death during delivery.
