Case Management Advisor articles from August 2004

Case Management Advisor archives from August 2004

Wireless technology connects case managers with referral sources: community agencies join to serve the uninsured.
August 1, 2004... Thanks to wireless technology, case managers working in Chicago's poorest neighborhoods no longer have lengthy waits to get referrals to other agencies for their clients. Now, when they locate a client or potential client in the field,...

Acuity system keeps CM workloads on an even keel: cases are assigned by needs of members.(case manager)
August 1, 2004... A system that rates cases by acuity level helps case managers at BlueCross and BlueShield of Oklahoma (BCBSOK) keep their workload evenly distributed. Cases are stratified by complexity, with Level 1 being the lowest acuity and Level 5 the...

Incentives work in disease management initiatives: program saves $1.6 million in three years.
August 1, 2004... When new members enroll in one of Blue Cross and Blue Shield of Oklahoma's (BCBSOK) health promotion programs, they receive free equipment to help them monitor their chronic disease. For instance, members in the diabetes health promotion...

Program cuts LOS, ED visits for kidney patients: nurses monitor members face to face.(emergency department)
August 1, 2004... A field-based disease management care program in which nurses meet face to face with members with chronic kidney disease and end-stage renal disease has resulted in dramatic decreases in emergency department (ED) visits and hospital bed days...

Automated system reminds members of screenings: telephone calls work better than mailings.
August 1, 2004... An automated calling system reminding members to get preventive health care services has paid off for Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ). Instead of receiving a postcard reminding them to go for immunizations, cancer...

Physician engagement pays off for DM firm: team inputs data for patient files.(disease management )
August 1, 2004... When QMed contracts with a health plan to manage its coronary artery disease, heart failure, or diabetes population, the Laurence Harbor, NJ, disease management firm does more than just rely on claims data to come up with a treatment plan for...

URAC: health plans still not compliant with HIPAA: report identified barriers to compliance.(Utilization Review Accreditation Commission)(Health Insurance Portability and Accountability Act of 1996)
August 1, 2004... With less than a year left before the HIPAA Security Rule goes into effect, a study by URAC has shown that the majority of health plans are not prepared. "Many health care organizations have a long way to go to implement a health...

System helps therapists identify patients at risk: clues often missed in interviews.
August 1, 2004... A system to help identify patients who are at risk for suicide, chemical dependency, or premature treatment termination is a great adjunct to traditional psychiatric care, asserts Daryl E. Quick, PhD. Quick's organization, Western...

CE questions.
August 1, 2004... 5. The eight agencies in Chicago's Westside Collaborative Care coalition came up with a standardized assessment used to assess uninsured patients who need services. How many questions are in the assessment? A. 10 B. 45 C. 22 ...