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Case Management Advisor – May 1, 2005

May 1, 2005

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  • ‘Next Generation Care Management’ cuts costs, increases satisfaction

    Using a comprehensive approach to care management called Next Generation Care Management, BlueCross BlueShield of Tennessee has cut both the number of catastrophic case managers and the average caseload while increasing the savings per catastrophic case by 300%.
  • How to tell clients what case managers do

    After an exhaustive process that involved collecting and evaluating more than 150 separate definitions of case management, the Case Management Leadership Coalition (CMLC) has come up with a statement designed to help case managers explain what they do.
  • Guest Column: Understanding DM helps case managers do their job

    The term disease management has grown in popularity and widespread usage over the past decade to the point that it is assumed most case managers and related professionals know exactly what this term means. Although case managers may believe that they understand at least the basics of disease management, it is important to step back and carefully consider its definition and protocols.
  • Technology, planning key to successful programs

    While the Centers for Medicare & Medicaid Services (CMS) introduces new programs designed to address the care of chronically ill patients, home health agencies continue to find innovative ways to provide care to diabetic and congestive heart failure (CHF) patients two of the most common diagnoses identified as chronic illnesses.
  • Integrated disability management a slow sell

    Though research and anecdotal evidence seem to show that integrating disability and health care programs for all injuries and illnesses whether suffered on the job or off can get employees back to work more quickly, prevent absences, and lower total benefit costs, most employers are slow to warm up to the idea.
  • Cooperative uses grant to evaluate quality plan

    The University of Washington (UW) 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.
  • NQF publishes report on cardiac surgery measures

    The National Quality Forum (NQF) has published a new set of national consensus standards, National Voluntary Consensus Standards for Cardiac Surgery, which provides a standardized set of measures and framework for improving the quality of cardiac surgery (which accounts for about 14,000 in-hospital deaths each year).