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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.
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Humanas Personal Nurse training program includes one component that many disease management programs leave out recognizing that people are willing to work on changes according to their own values and not according to the values of an external agent, such as a case manager, Vaughn Keller, MFT, EdD, asserts.
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At Highmark Blue Cross Blue Shield, case managers are a vital component of the companys Dr. Dean Ornish Program for Reversing Heart Disease.
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The Dr. Dean Ornish Program for Reversing Heart Disease is a dramatic lifestyle change for most people who have coronary artery disease or are at risk for the condition.
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The case management department of Blue Cross and Blue Shield of Rhode Island has taken a unique approach to ensuring the physicians will collaborate with their case managers they pay them for their time.
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Centralizing all of its disease management programs has paid off for Aetna.
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When PacifiCare Health Systems Inc. decided to expand its disease management programs, the Cypress, CA-based insurer looked at all the options and decided to contract with vendors who were experts in their field rather than developing the comprehensive programs in-house.
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When it comes to disease management programs, Kathy Cartelli, director of disease management for PacifiCare Health Systems Inc. recommends hiring experts.
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Achieving ISO 9001:2000 registration has helped Humana Inc.s Personal Nurse service move quickly to respond to customer feedback and improve services.
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At Humana Inc., specially trained registered nurses called Personal Nurses fill the gap between the companys traditional case management and disease management programs. The nurses, who work from home-based offices, call members identified by a predictive model as likely to need health care interventions in the future, says Trish Whitt, RN, director of clinical product management for the Louisville, KY-based health benefits company.