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Creating a plan of care for a catastrophically injured patient is a little like creating a patchwork quilt you gather up scraps from a lot of different places and stitch it together, says Jolynne "Jo" Carter, BSN, RN, CCM.
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Medicaid beneficiaries enrolled in Anthem Blue Cross' Self-Care Initiative cut their emergency department use for nonemergent conditions in half, earning the Thousand Oaks, CA-based subsidiary of WellPoint Inc. a BlueWorks Award from the Blue Cross and Blue Shield Association.
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Employees who perceived greater flexibility in their workplace were more likely to engage in more frequent physical activity, stress management programs, health education activities, and healthful sleep habits, according to a new study.
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Many employers give premium reductions to workers who complete health risk assessments or attend weight loss programs, and some firms are considering charging obese workers more for health benefits. But what about giving workers cash as a reward for losing pounds?
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A nurse practitioner-led care management model has resulted in lower costs, better care, and high patient satisfaction ratings for frail elderly nursing home patients being managed by Inspiris, a Brentwood, TN-based health care management firm.
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By using a combination of education and case management, Molina Healthcare of Michigan has decreased the number of members who frequently visit the emergency department with primary care issues.
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Not long ago, case managers for Medical Management International lugged huge cases of patient files with them when they visited clients and often worked into the night, entering documentation and patient notes into their computers.
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Major findings of a recent report by the Kaiser Commission on Medicaid and the Uninsured include the following:
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Medically disabled Medicaid patients who are obese and have bariatric surgery are more likely to return to work than those who don't have surgery, according to a new study.
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Education about skin cancer is still needed, says Linda K. Franks, MD, FAAD, director of Gramercy Park Dermatology in New York City, though it is common to see adults on vacation making little effort to avoid the known risks for skin cancer, which is exposure to ultraviolet radiation.