Case Management Advisor articles from December 2003

Case Management Advisor archives from December 2003

Proactive interventions cut hospitalization rate dramatically: program targets at-risk members.
December 1, 2003... Since Harvard Pilgrim Health Care, based in Wellesley, MA, started its Health Advance care management system to intervene with at-risk members before they require intensive medical services, the hospitalization rate for members in the program...

Program helps members take control of their health: goal setting, personal responsibility are keys.
December 1, 2003... Involving members in goal setting and getting them to take personal responsibility for their own health are keys to the success of Harvard Pilgrim Health Care's Health Advance Care Management system, according to Liz Estabrook, RN, manager of...

Social work CMs help members connect: they work as adjunct to case management.
December 1, 2003... The publicly insured members covered by Horizon-Mercy often have psychological and social needs along with their medical conditions. To better serve these needs, the Trenton, NJ, health plan for the publicly insured started a social work...

Initiative helps health plan beat national averages: self-management, physician incentives are part.
December 1, 2003... A comprehensive asthma management program has paid off for Care Choices HMO of Farmington Hills, MI. The health plan received the "best-in-class" designation in the National Committee Quality Assurance's Quality Compass 2003 report in...

New approach helps members manage disease: program integrates DM, decision support.
December 1, 2003... Independence Blue Cross takes a three-pronged approach to helping members manage their health care with its newly expanded Connections[SM] Health Management Program. The program uses specially trained clinicians, called health coaches, who...

Collaboration helps get members back to work: CM, vocational rehabilitation work together.
December 1, 2003... Through a team approach that involves case managers, vocational rehabilitation counselors, and on-site job coaches, CIGNA Group Insurance has developed a successful return-to-work program for members who are severely injured or experience...

CE questions.
December 1, 2003... 26. Harvard-Pilgrim estimates that its Health Advance care management program will achieve a--reduction in cost per-member, per-month. A. 10% B. 20%-25% C. 5% D. 30% 27. Horizon-Mercy's social workers who handle publicly...