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December 1, 2022

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  • Member-centered program provides seamless case management

    By combining its individual disease management programs into a member-centered system and reminding members of gaps in recommended care, Buffalo-based HealthNow New York helps members assume responsibility for managing their conditions so they can stay healthy and out of the hospital.
  • Behavioral CMs help manage bipolar members

    Members with bipolar disorder are getting the help they need to keep their condition under control through a new telephone coaching program from Health Alliance Plan (HAP) of Michigan.
  • Program reduces pre-term, low-birth-weight babies

    Since implementing a maternity program that includes educational mailings and telephone counseling sessions for all pregnant members, BlueChoice HealthPlan of South Carolina has been well below the state average for pre-delivery hospitalizations and pre-term deliveries. And health plan members have experienced a drop in pre-term admissions and neonatal intensive care unit (NICU) lengths of stay.
  • Pathways involve patients, families in plan of care

    Clinical pathways, multi-disciplinary plans of care for patients with a particular diagnosis, are not only for members of the medical team. Simple versions of these pathways, written in lay language, help empower patients and their families, and also initiate involvement in the management of their care.
  • Patient pathways provide details on what to expect

    At Children's National Medical Center in Washington, DC, families are given a patient pathway to accompany certain clinical pathways that are used by the medical team to coordinate care.
  • ROI for wellness programs: This data could save your job

    Health care costs reduced $176 for every employee a savings of $1.65 for every dollar spent on a comprehensive wellness program. These are the eye-catching numbers that occupational health professionals at Highmark Inc., a Pittsburgh-based health insurer, can point to.
  • Study: GERD has big impact on productivity

    Forty-one percent more sick days, 59% more short-term disability days, 39% more long-term disability days, 48% more workers' compensation days, and 6% lower annual productivity.