Case Management Advisor – August 1, 2005
August 1, 2005
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Assigning ownership to measures helps plan improve its scores
An initiative that assigns ownership of HEDIS®* measures to various staff members has resulted in improved HEDIS scores and national acclaim for Keystone Health Plan Central, a wholly owned subsidiary of Capital BlueCross, independent licensees of the Blue Cross Blue Shield Association. -
Web-based consults save money, boost satisfaction
When Blue Shield of California conducted a pilot project paying physicians for Internet-based consultations for nonurgent conditions, the San Francisco-based health plan found the initiative reduced office visit claims by $1.92 per member per month and total health care costs by $3.69 per member per month. -
Escorts, training, duress signals improve staff safety
An estranged husband comes into the house while the home health nurse is teaching the patients mother how to do enteral therapy as he begins physically abusing the mother, he looks at the nurse and says, Youre next. -
Nursing home patients can benefit from hospice care
As increasing numbers of older Americans spend their last days in a nursing home, its important for nursing home staff, as well as hospice providers, to identify nursing home patients who might qualify for a hospice placement, an end-of-life care expert says. -
Insurance costs may rise as soft market hits bottom
Prices in the commercial insurance industry, which declined steadily in 2004 in the first yearlong soft market since 1998, may be showing signs of a rebound, according to a new survey. -
News Briefs
One in three (33%) U.S. adults who have been prescribed drugs to take on a regular basis reported that they often or very often are noncompliant with the treatment regimen, according to a recent Harris Interactive on-line survey.