Case Management Advisor – May 1, 2004
May 1, 2004
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Creative solutions engage Medicaid patients in disease management
Medicaid recipients with chronic diseases are a difficult population to reach. Often, they're transient and face economic, linguistic, and cultural barriers to health care. Thats why McKesson Corp., based in San Francisco, came up with a series of outside-the-box initiatives in its disease management programs for Medicaid patients whose care is not covered by a managed care contract. -
Medicaid DM program addresses gaps in care
A Medicaid disease management program represents a huge potential to improve the health of the publicly insured while decreasing overall health care costs, Sandeep Wadhwa, MD, asserts. -
DM program focuses on 17 conditions
In the first 12 months of a comprehensive disease management program for members with 17 chronic conditions and diseases, Blue Cross and Blue Shield of Minnesota saved $36 million in claims, with a return-on-investment of $2.90 for every dollar spent. -
Disease management requires different skills
If you are a case manager who also is performing disease management activities, keep in mind that the two activities require distinctly different skill sets, suggests Rufus Howe, RN-C, MN. -
CMs provide support for bariatric patients
Some people who are considering bariatric surgery as a weight-loss option may think they can have a minor operation and start losing weight automatically without having to think of dieting again. Thats where Michelle Coffman, RN, and Sue Lassetter, MA, come in. -
Guest Column: Advocacy may be a balancing act for CMs
For case managers working in an acute-care environment, advocacy is a fundamental principle of the services they provide. Advocacy may be described simply as wanting, getting, and doing what is in the best interest of the patient and the family. In practice, however, case managers find themselves acting as advocates not only for the patient and family but for the hospital and provider of care as well.