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A newly created position at the University of Pennsylvania Medical Center-Presbyterian in Philadelphia is helping the access department take that next step toward reducing denials and ensuring proper reimbursement, says Raina Harrell, CHAM, director of patient access for business operations.
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The Joint Commission on Accreditation of Healthcare Organizations has named Swedish Medical Center in Seattle the winner of the inaugural Ernest Amory Codman Award in the disease-specific care category.
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As a case manager for pediatric cancer patients, Mary Nugent, RN, is challenged with ensuring that her patients get the care and equipment they need when they are out of the hospital, a job that is made more difficult by the scarcity of some of the medications the children are prescribed and the wide range of payers and benefits.
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A comprehensive program that helps members manage the five most common chronic diseases has lowered medical cost trends by 1.5% to 2% for all members in Independence Blue Cross's Medicare, HMO, and PPO plans, according to a recent cost-savings analysis.
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Research shows that people with severe mental illness are at greater risk of becoming infected with HIV, their care is more costly when they are infected, and their health outcomes are worse than populations without mental illness.
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Record numbers of veterans will die this year, and veteran deaths will remain high for the next decade, experts say.
Community hospices provide care to many of these veterans at the end of their lives, sometimes without hospice staff knowing their patients were in the service. Experts say hospice professionals often do not realize how their patients' military service or war-time experiences might color the way they face their own deaths.
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There's no doubt that chronically ill patients who have the best outcomes are those who adhere to their treatment plan and receive care that follows evidence-based clinical guidelines.
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A comprehensive program that includes face-to-face assessments and telephonic health coaching is helping Medicare beneficiaries in Tennessee with diabetes or congestive heart failure learn to manage their health.
