Case Management Advisor – October 1, 2004
October 1, 2004
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Three-pronged approach improves care for Medicaid members
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. -
Care Calls helps members manage chronic diseases
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. -
Cultural competency program improves services
An innovative cultural competency program has helped Molina Healthcare serve a highly diverse membership covered under Medicaid and other government-sponsored health care programs. -
Studies show wellness cuts disability costs
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. -
CIGNA study supports integrated benefits
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. -
Advance planning eases care for aging
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.