Case Management Advisor – May 1, 2009
May 1, 2009
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Take a proactive approach to keeping your clients healthy
As the cost of health care continues to soar, employer groups and health plans are focusing on wellness programs that help people who aren't sick now change their lifestyles and avoid developing chronic diseases, such as emphysema, heart disease, or diabetes. -
Members earn rewards for healthier lifestyles
As part of its efforts to promote healthy living and save health care dollars in the long run, Regence BlueCross BlueShield is rewarding members for adapting healthy lifestyles. -
Coaches help members make lifestyle changes
When members at Regence BlueCross Blue Shield want to lose weight, start exercising, quit smoking, manage the stress in their lives, or get a good night's sleep, help is just a phone call away. -
Demonstration project improves outcomes for ill
A Medicare demonstration project in Florida that includes both telephonic case management and face-to-face interventions has improved clinical outcomes for beneficiaries who are eligible for both Medicare and Medicaid and have congestive heart failure or any combination of comorbidities that include congestive heart failure, diabetes, and coronary artery disease. -
Face-to-face interventions help chronically ill
George is a 67-year-old man with diabetes, cardiac problems, and asthma who takes more than 10 medications. He is insulin- and oxygen-dependent, lives alone, and is illiterate. -
Take on a bigger role in workers' compensation
A newly hired occupational health nurse knew intuitively what she was saving her company, but lacked quantifiable numbers. To come up with hard data to show her worth, the nurse turned to her workers' compensation carrier. -
3 things you must know about workers' comp
"People think of insurance as somebody gets hurt, they submit a claim, they get paid, and that's the end of it, but there are all different types of programs," says Christine R. Zichello, RN, COHN-S, CSHM, ARM, FAAOHN, senior risk control specialist at PMA Insurance Group's Mount Laurel, NJ, branch office. -
Which of these 3 plans is your company on?
Here are definitions of three types of workers' compensation insurance policies, according to Christine R. Zichello, RN, COHN-S, CSHM, ARM, FAAOHN, senior risk control specialist at PMA Insurance Group's Mount Laurel, NJ, branch office: -
Prove that thousands of dollars were saved
Getting more involved in workers' comp is your "chance to show cost savings to upper management," says Moniaree Parker Jones, RN, MSN, COHN-S, CCM, formerly a senior occupational health nurse in the Alabama/Mississippi regional office of State Farm Insurance Co.