Case Management Advisor – January 1, 2013
January 1, 2013
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Face-to-face contacts help build relationships
As providers struggle with that small percentage of patients who consume the majority of healthcare dollars, theyre finding that having care coordinators who work face to face with patients often can help patients navigate the healthcare system and follow their treatment plan. -
Face-to-face approach pays dividends
EmblemHealths team approach to providing face-to-face care coordination after hospitalization resulted in a 31% reduction in the 30-day readmission rate for members who received the interventions when compared to a baseline group. -
Acute Care Transitions program cuts ED visits
Keystone Mercy Health Plans Acute Care Transitions program, which embeds case managers in hospital emergency departments to work with patients who seek treatment or are hospitalized, reduced emergency department visits by 21% and hospital inpatient admissions by 32% over the course of a year among members who received interventions when compared to a control group. -
Intensive CM keeps members out of hospital
Since Tufts Health Plan launched its integrated care management model for Tufts Medicare Preferred, its Medicare Advantage plan, the Watertown, MA, health plan has seen significant reductions in hospital admissions and readmissions. -
Look for careers beyond traditional CM roles
In todays climate of healthcare reform and with the growing emphasis on quality, there are more opportunities for case managers than ever before. -
ED navigators go beyond health needs
While studies show that most people come to the ED because of an urgent or emergent medical concern, some people wind up in an emergency setting because they are not plugged in to the kind of social or medical resources that could more appropriately meet their needs.