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Case Management Advisor – April 1, 2005

April 1, 2005

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  • Diabetes program combines disease management, case management

    A diabetes management program that combines education, disease management, and case management has resulted in a 19% reduction in hospital admissions per thousand among members with diabetes for Blue Care Network of Michigan.
  • Program helps to reduce preterm deliveries

    As a result of a low-tech, high-touch case management program for women at risk for preterm delivery, preterm deliveries for ConnectiCare, a small, regional HMO based in Farmington, CT, consistently run 10% to 20% below national and regional averages.
  • CMS programs tackle chronic care costs

    With 15% of Medicare patients representing 75% to 80% of Medicare costs, it is no surprise that Section 721 of the Medicare Modernization Act calls for the development of chronic care improvement organizations that address the management of patients with chronic illnesses.
  • Understanding limitations makes RTW efforts work

    Return to work (RTW) is one of the occupational health professionals primary services to patients. But RTW is not just about the employee its also about the employer and the workplace. Recognizing that fact can mean the difference between a successful RTW plan and one thats not.
  • Multifaceted approach manages Medicare patients

    Using a multifaceted approach that includes telephone communication, ongoing education, and case management services, CIGNA Health Care is providing a disease management program for Medicare beneficiaries in Georgia with complex diabetes and congestive heart failure.
  • Cooperative uses grant to evaluate quality plan

    The University of Washington School of Public Health and Community Medicine in Seattle, has received a two-year, $656,000 grant from The Robert Wood Johnson Foundation to evaluate the impact of Group Health Cooperatives recent innovations to improve access and quality of care for its members.