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As part of its focus on prevention as a successful strategy to improve the quality and lower the cost of health care, Independence Blue Cross has launched a program targeting members who are at risk for cardiometabolic syndrome, a condition that may increase a person's chance of developing heart disease and diabetes.
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A blended model of care management has decreased hospitalizations and emergency department visits and cut medical expenses for high-risk Medicaid recipients with Keystone Mercy Health Plan.
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Not long ago, the ED at Palisades Medical Center in North Bergen, NJ, was struggling with waiting times hovering at about four hours.
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Workers' compensation claims, employee assistance program utilization, employee opinion surveys and productivity questionnaires. Which are the most reliable data to base important decisions about wellness programs?
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In just four months after the launch of an intensive compliance documentation management program (CDMP) Bon Secours St. Francis Health System's Medicare case mix index increased significantly.
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Every occupational health program requires resources, ranging from tens of thousands of dollars for a fitness center to a few hours spent on educating employees. How do you decide whether these are best invested in a diabetes lunch and learn, a weight loss competition, or otherwise?
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If the experiences of the first hospitals targeted by the Zoned Program Integrity Contractors (ZPICs) are any indication, at some point this year, your hospital may receive a surprise visit from an investigator with a law enforcement background who will request medical records to be examined for possible waste, abuse, or fraud.
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HIV clinicians often work with patients who have such an overwhelming number of barriers to optimal treatment adherence that it's difficult to know where an adherence intervention should begin.
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No one likes change, and ED managers often face a tough challenge when introducing new processes to their staff.
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Mission Hospital in Asheville, NC, has teamed up with seven employers in the community to provide face-to-face disease management for chronically ill employees.