Case Management Advisor articles from February 2004

Case Management Advisor archives from February 2004

Member-driven case management/disease management system pays off: plan takes a proactive approach to members' health.
February 1, 2004... When Blue Cross Blue Shield of Michigan created its proactive case management and disease management program, the Detroit-based insurer looked for every opportunity to interact with members, in addition to maximizing the traditional disease...

Seamless program handles all levels of patient care: CM, DM, and guided self-management merged.
February 1, 2004... Before Blue Cross Blue Shield of Michigan launched its BlueHealthConnection program, disease management nurses and case management nurses were in separate departments and never talked. Now, the Detroit-based health plan takes a multipronged...

Predictive modeling used for CM/DM interventions: risk scores, gap scores indicate interventions.
February 1, 2004... When Blue Cross Blue Shield of Michigan decided to create a proactive case management and disease management program, the Detroit-based insurer turned to predictive modeling to identify which of its members were eligible for the...

Regional offices bring CMs closer to clients: care is targeted to regions' specific needs.
February 1, 2004... It's not unusual for members covered by Blue Cross Blue Shield of Arkansas to drop by the office and visit their case manager in person. "Many times, we have members who are coming into the city for a doctor visit and they stop by the...

Regional offices have autonomy, consistency: policies and procedures are the same.
February 1, 2004... The regional offices of Blue Cross Blue Shield of Arkansas each have their own identity but they follow consistent policies and procedures based on URAC standards for the company's case management program. Establishing consistent policies...

NICU case management pays off for health plan: program cuts average of four days off length of stay.
February 1, 2004... A case management program dedicated to infants in the neonatal intensive care unit (NICU) has saved Blue Shield of California an average of four days length of stay off each NICU admission, saving the health plan about $3,500 a day. "We...

Case study of an infant needing complex care.
February 1, 2004... On July 5, 2002, Baby A was born at a term gestation of 38 week by emergency cesarean due to prolonged decelerations. The infant had Apgar scores of 0/0/0 at 1/5/10 minutes, respectively, and a poor score of 4, 20 minutes after birth. A...

CE questions.
February 1, 2004... CE Objectives After reading this issue, continuing education participants will be able to: 1. Identify clinical, legal, legislative, regulatory, financial, and social issues relevant to case management. 2. Explain how those issues...