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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 highest.
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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 screenings, prenatal and postnatal care, and other preventive health care services, members who are eligible for the services receive a computer-generated telephone call.
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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.
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Travel Medicine providers must be aware of the need for continued surveillance of their patients for an adequate polio immunization status given the following developments in Africa.
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Why are so many Olympic level endurance athletes from East Africa? A demographic review of Ethiopians suggests that both heritage and habit are important. Travel medicine providers can provide customized care to runners to protect them from particular risks during international travel.
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A laboratory report indicating susceptibility of MRSA to vancomycin does not guarantee successful therapy with this antibiotic since a significant risk for failure may be present despite MICs within the range considered susceptible.
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Molecular techniques provide a more rapid and accurate method of Nocardia species identification than do classical microbiologic methods. A surprise: of 94 isolates, the most commonly identified species was Nocardia cyriacigeorgica and none were Nocardia asteroides.