Occupational therapy is a bit like case management. In both vocations, the greater healthcare community (and population in general) is not entirely familiar with their purpose. Both positions often are all-encompassing, diverse, and necessary as they consider the whole person. Both occupational therapists and case managers often play a role in helping control hospital spending.
A recent decision by the U.S. Supreme Court could make it more difficult for women to access medication abortions. In an unsigned brief order on Jan. 12, the Supreme Court said a district court should not have compelled the Food and Drug Administration to lift a requirement that mifepristone, the abortion pill, has to be picked up in person.
Advancements in the area of personalized medicine and understanding how one’s genetics affect health outcomes is an evolving science. The addition of pharmacogenetic testing to the armamentarium of primary care providers presents an opportunity to improve patient care.
A case management-type of model, called primary care intensive management, could provide some limited benefits for more complex patients, research shows. But the research also suggests questions about how population health resources are best spent.
Investigators studied five years of clinical and economic outcomes data for 1,800 patients insured through their employers. They found that when the employees participated in a web-based health literacy program, hospitalizations dropped by 32%, emergency department visits were down 14%, and overall costs declined 11%.
The authors of a recent study quantified the number of medically unnecessary clinical visits for abortion services. They found that more than 31,000 in-person clinic visits would be averted each month if four medically unnecessary state and federal policies were repealed and if 70% of patients received no-test telemedicine abortions.