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Using a combination of telephone calls from certified case managers, written materials, self-monitoring tools, and reminder messages to physicians, Univera Healthcare is helping members learn to monitor their chronic diseases.
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A new study by Philadelphia-based CIGNA confirms what a number of health care professionals have been asserting: the integration of disability and health care programs can help return disabled employees to work more quickly, or even prevent absences, and also can lower total benefit costs.
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Planning is something Americans do on a regular basis. They plan their vacations. They plan for the birth of a new baby. They plan for retirement. And they even plan for death. Yet few plan for the aging process.
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Keystone Mercy Health Plan, Pennsylvanias largest Medicaid managed care plan, takes a proactive approach to preventing and managing illnesses, injuries, and utilization among its 285,000 members by providing targeted case management and outreach to members with chronic conditions.
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An innovative cultural competency program has helped Molina Healthcare serve a highly diverse membership covered under Medicaid and other government-sponsored health care programs.
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It has been a long, hard struggle for wellness proponents to prove the ultimate value of health promotion programming in terms of employee health and well-being. As the 90s unfolded, more evidence came forward demonstrating that wellness did, in fact, contribute to a reduction in health insurance costs/claims, helping to move wellness into the need to have category for a growing number of companies.
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As of Jan. 1, hospitals accredited by the Joint Commission on Accreditation of Healthcare Organizations must meet a new standard that has a higher requirement for care given to admitted patients in the ED, and CEOs will depend on ED managers to lead the effort in complying with this standard.
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The newly announced national patient safety goals, which are expected to receive special emphasis at accreditation surveys, require EDs and other departments of the hospital to accurately and completely reconcile medications across the continuum of care.
