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Case Management Advisor – July 1, 2014

July 1, 2014

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  • Newest member of the care team guides patients through the maze

    Patient navigators, the newest members of the healthcare team, guide patients through the complex healthcare maze and help them access the resources they need to manage their health.
  • Care guides help patients follow plans

    In a randomized controlled study by Allina Health, patients who work with lay healthcare workers called care guides were 31% more likely to meet evidence-based care goals than those who were not part of the care guide program.
  • Patients stay healthier with peer support

    The University of Pennsylvania Health System has found that interventions by community health workers improve outcomes and reduce hospital readmissions for at-risk patients.
  • PCPs, health plans co-manage dual eligibles

    Atrius Health, an alliance of six multispecialty medical groups and one home health and hospice agency, has teamed up with two health plans to jointly coordinate care for patients who are eligible for both Medicare and Medicaid benefits.
  • State initiative trims ED utilization

    While the beginning stages of the effort may not have been pretty, Washington states coordinated program to tamp down costs related to high ED utilization by Medicaid recipients has not only exceeded expectations in terms of cost savings, now emergency medicine professionals are eager to apply the partnerships formed as part of the approach to other health care problems.
  • Access can prevent 30-day readmissions

    Most readmission efforts are focused on patient education and engagement during and after discharge, says Paul Shorrosh, founder and CEO of AccuReg Patient Access Solutions in Mobile, AL.
  • HHS to survey 1,200; audits might follow

    The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) announced that it will survey up to 1,200 covered entities and business associates to find those in need of a full HIPAA compliance audit.