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There is new evidence that initiating palliative care consults in the ED results in shorter hospital lengths of stay (LOS).
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WellCare Health Plans is partnering with community-based organizations that provide social safety net services to provide a diabetes management program for its members.
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Through Capital District Physicians' Health Plan's medication therapy management program, pharmacists in the community and embedded in large primary care practices work with patients to help them adhere to their treatment plan.
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In the brave new world of healthcare, what goes right and wrong in patient care can't be blamed on someone else along the continuum of care.
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While new regulatory mandates and payer requirements are making case management essential, case managers are still not getting the recognition they deserve in the form of increased compensation.
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Taconic Professional Resources embeds case managers in 74 practices in the Capital District-Hudson Valley area in New York as part of the Centers for Medicare & Medicaid Services' Comprehensive Primary Care Initiative.
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The current emphasis on care coordination and improved transitions means new opportunities for case managers.
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At Passport Health Plan, one team of case managers helps patients with short-term needs such as transportation assistance, the health plan's complex case managers provide long-term care coordination, and case managers embedded in clinics meet members face to face.
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As part of Cigna's Collaborative Accountable Care initiative, physician practices hire care coordinators who work with patients on following their treatment plan and link them to Cigna resources when needed.