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Case Management Advisor – March 1, 2005

March 1, 2005

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  • Multilayered DM programs help members stay healthy

    A series of award-winning population-based and multilayered disease management programs has resulted in high member satisfaction ratings, improved HEDIS scores, and decreased utilization over time by members in the program for Anthem Blue Cross and Blue Shield plans in Indiana, Kentucky, and Ohio.
  • Plan rewards members for healthy behavior

    Blue Shield of California is taking a different approach to cutting health care costs rewarding members for engaging in activities aimed at improving their health. Members who are participating in the two-year pilot project log onto the Blue Shield web site and complete activities at least once a week for a minimum of 20 weeks to earn a reward of $75. Members who participate for 28 weeks earn $150. At 35 weeks, the cash reward goes up to $200.
  • Guest Column: Approach helps CMs show their effectiveness

    Case managers know that their services potentially can benefit their clients health, wellness, and autonomy. That impact, however, may not routinely be measured against specific performance indicators. Case management services can produce improvements in health care quality and cost-effectiveness. Those beneficial results, however, may not be systematically tracked and analyzed.
  • Communication is key to client satisfaction

    Everyone who works in health care has a list of ideas for what needs to be done to improve client satisfaction, but one theme appears to be a common thread throughout: communication.
  • Do things right, and return to work won’t go wrong

    When an employee is out of work for an extended period with an injury or illness, his or her absence creates a physical and emotional void. The work needs to be done, and co-workers and supervisors look forward to the employees return. That is, unless the employee isnt really wanted back.
  • Tools to help improve teaching, communication

    In an effort to spur documentation, standardize teaching, and ensure patients will be ready for a safe discharge, many institutions utilize checklists, guidelines, and teaching plans. However, the implementation of these tools doesnt necessarily guarantee the desired result will be achieved.