Case Management Advisor
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DM programs help to reduce hospitilizations
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Evaluate to determine who will benefit from CM
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Accreditation is next step for insurer’s DM programs
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One-to-one contact key to success of program
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Prenatal program slashes premature birth rate
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Managing benefits key to keeping members happy
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Member-driven care management yields high satisfaction scores
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Careful planning required for new mom and baby
Before you jump into a new mom and baby service, be sure you have a market for the program, suggests Candace Sharkey, RN, MS, executive director of HealthTouch in Wakefield, RI. We did extensive market research before we implemented the program to make sure there was a need for doulas, Sharkey says. -
Newborn home care can improve outcomes
A newborn is most at risk for jaundice and dehydration during the first 10 days of life, and these conditions mean increased risk for hospitalization and emergency department (ED) visits. -
Integrated care management program generates 3-to-1 return on investment
An integrated care management program has resulted in a return on investment of greater than 3-to-1 for Blue Cross and Blue Shield of North Carolina.