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For people with asthma, the viral infections that cause the common cold are a major cause of health emergencies, including hospitalizations, a study at the University of Iowa Health Care has concluded.
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As a case manager, you are well accustomed to working in a number of roles. However, those roles can become complex when your patient advocate role does not mesh with the obligations you have to your employer.
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Disease management is a fluid process that often involves transitioning patients from the disease management team to case management for more intensive interventions, says Pam Mays, MPH, BSRN, RN, assistant vice president for care management of CIGNA Health Care.
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Christobel E. Selecky actually has had physicians thank her for sending them treatment guidelines along with information about their patients with chronic diseases.
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When a member of LifeMasters Supported SelfCares disease management program weighs himself, takes his blood pressure, or blood glucose level, he dials a toll-free number, enters his personal code, and follows the computer prompts to enter the data being monitored. It all takes a minute or less.
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Targeting the right members for intensive disease management is the key to a successful program, says Christobel E. Selecky.
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When Blue Cross and Blue Shield of Missouri negotiated a contract with Quality Oncology to handle utilization management and case management services care for its members with cancer, the health plan insisted that the vendor use the insurers system so the in-house staff would have instant access to patient data.
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When the quality management and quality improvement teams at Blue Cross and Blue Shield of Missouri examined the data for each disease, they found that the costs for oncology were increasing at a much greater rate than for other diagnoses and that the increases were exceeding 10% a year.
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Youre a case manager for an insurance company, and a spinal cord injury case that needs intensive management and care over a long period of time lands on your desk. Youve never handled care for a spinal cord injury patient. Where do you turn for help?
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A comprehensive analysis of the Health Insurance Portability and Accountability Act (HIPAA) and its impact on disease management has concluded that the new privacy regulations will not hamper disease management programs, according to the Disease Management Association of America (DMAA).