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Case Management Advisor

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  • Who should come first for CMs: patients or employers?

    Suppose you're a hospital case manager under pressure to move patients to another level of care and free up beds for patients boarding in the emergency department. What do you do if you think a patient really needs to stay in acute care?
  • Caregivers lack skills for home care

    Paid caregivers make it possible for seniors to remain living in their homes.
  • Purpose drives choice of content for e-readers

    What content should go on electronic readers, such as iPads and Nooks, purchased for use in community health libraries and facility-based resource centers?
  • Look to peers when ethics questions arise

    When you're troubled by an ethical dilemma, don't go it alone. Reach out to your peers and your professional organizations for help, the experts say.
  • Home health visits being redefined

    Hospitals are working more proactively in forging relationships with the next-level-of-care providers, the experts say.
  • Proposed ACO rules stress care coordination

    Proposed rules for the creation of Accountable Care Organizations (ACOs) will require participating organizations to provide primary care to 5,000 or more patients and to meet 65 quality standards.
  • ACO rules could create variety of new burdens

    The Department of Health and Human Services'(HHS) recently published proposed rule (42 CFR 425) for Accountable Care Organizations (ACOs) could result in some positive changes for the health care industry, but there are a few problems that should be corrected, an expert says.
  • Care coordinator for complex needs

    AmeriHealth Mercy's care coordinator, Lynne Major MSW, CCM, touches base with every member who comes into the physician office where she works, encourages them to call her if they have questions and spending extra time with those who have complex needs.
  • Project cuts costs, admissions and more

    An innovative care coordination pilot project jointly developed by AmeriHealth Mercy Family of Companies' Keystone Mercy Health Plan based in Philadelphia, PA, and providers affiliated with the Mercy Health System, also based in Philadelphia, PA, resulted in decreased costs, reduced hospital admissions, and a decrease in inpatient days for members in the health plan's Medicaid managed care plan.
  • Shave LOS with ED-based intervention

    Hip fractures are among the most debilitating and expensive diagnoses to treat, but hospitals can significantly improve outcomes and lower costs if they move hip-fracture patients into surgery quickly, explains Anthony Balsamo, MD, an orthopedic surgeon and head of the Geriatric Fracture Care Program (GFCP) at Geisinger Wyoming Valley Medical Center in Wilkes-Barre, PA.