Case Management Advisor – April 1, 2009
April 1, 2009
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Personal contact helps identify hard-to-find members for health plan
Dania Anderson, LCSW, is something like a detective. As an outreach coordinator for Health Integrated, a targeted population health management company, Anderson visits doctors' offices, hospitals, clinics, group homes, soup kitchens, and other community agencies in her quest to locate health plan Medicaid members receiving Supplemental Security Income (SSI) benefits who could benefit from Health Integrated's care coordination programs. -
Collaborative effort helps chronically ill
An approach that incorporates its telephonic integrated health coaching services with health plan case management and other health management programs, community-based resources, and physician practices has paid off for Health Integrated. -
Look to your reinsurer for help on difficult cases
If you are managing the care of a catastrophically ill or injured patient who needs complex care planning, coordination of resources from many sources, and a large allocation of financial resources that could cause the patient to reach his or her maximum lifetime benefit, it could be helpful to you and the patient to find out who may be sharing the risk. -
DPs can address patients' adherence barriers
One key to discharge planning is understanding what might prevent your patient from following medication and other instructions. -
Patient perceptions guide discharge education process
Transitions in health care are changing more quickly than patients' expectations, which is why it's important to address these expectations head-on, an expert notes. -
To avoid disasters, be ready to answer these questions
A company with 100 employees dedicates an entire floor of the building to a fitness center, but like many companies, has had financial setbacks due to the recession. Suddenly, the employee gym looks like a very bad investment. -
Don't make these 4 financial mistakes
When asking for resources for an occupational health initiative, you need to prepare a realistic program with solid goals and objectives; otherwise, you risk the program failing and your credibility diminished. Avoid these pitfalls: