Case Management Advisor articles from April 2004

Case Management Advisor archives from April 2004

Program to reverse heart disease shows 76% reduction in hospital stays: case managers are glue that holds the program together.
April 1, 2004... At Highmark Blue Cross Blue Shield, case managers are a vital component of the company's Dr. Dean Ornish Program for Reversing Heart Disease. "The case manager is the glue that holds the multidisciplinary program and the team together,"...

Program stresses low-fat diet, exercise, stress relief: CMs support participants to help them meet goals.
April 1, 2004... The Dr. Dean Ornish Program for Reversing Heart Disease is a dramatic lifestyle change for most people who have coronary artery disease or are at risk for the condition. The program recommends a low-fat, plant-based diet, regular exercise,...

Company gains physician support by paying them: program encourages MDs to work with CMs.
April 1, 2004... The case management department of Blue Cross and Blue Shield of Rhode Island has taken a unique approach to ensuring the physicians will collaborate with their case managers--they pay them for their time. "Some risk group contracts have a...

DM programs reap rewards for insurer and members: nurses work closely with regional case managers.
April 1, 2004... Centralizing all of its disease management programs has paid off for Aetna. The insurer, based in Hartford, CT, won the Best Disease Management Program in Managed Care award from the Disease Management Association of America (DMAA). ...

High-risk members are focus of DM program: members are identified by data, other factors.
April 1, 2004... Aetna's award-winning disease management programs focus the company's resources and nursing skills on the patients for whom it can make the biggest difference. "We are always looking at other ways to identify members who are at risk so we...

DM program lowers costs and improves health: program uses expert vendors for DM.
April 1, 2004... When PacifiCare Health Systems Inc. decided to expand its disease management programs, the Cypress, CA-based insurer looked at all the options and decided to contract with vendors who were experts in their field rather than developing the...

Plan carefully to ensure DM programs will succeed: contracting with vendors may be to your advantage.
April 1, 2004... When it comes to disease management programs, Kathy Cartelli, director of disease management for PacifiCare Health Systems Inc. recommends hiring experts. "We put a lot of thought behind the pros and cons of doing it ourselves vs....

CE questions.
April 1, 2004... 16. Participants in Highmark Blue Cross Blue Shield's Dr. Dean Ornish Program for Reversing Heart Disease achieved a--reduction in hospital stays for cardiac events. A. 30% B. 76% C. 50% D. 10% 17. The case manager in...