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When the Centers for Medicare and Medicaid Services (CMS) begins its Medicare Shared Savings Program for Accountable Care Organizations (ACOs) providing care for fee-for service Medicare patients in January, 2012, it's likely to mean new opportunities for case managers, says Bruce Merlin Fried, JD, senior member of SNR Denton's Health Care group and former director of the Center for Health Plans and Providers at CMS.
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As part of a program targeting at-risk Medicaid fee-for service members, case managers at Hudson Health Plan are using a software tool that helps them focus in on the needs of their clients they should address first.
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Technology can make a huge difference in the practice of case management, but you should choose carefully and deliberately to avoid pitfalls in the future, cautions Marcia Diane Ward, RN, CCM, PMP, a case management consultant based in Columbus, Ohio.
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"This was a new patient who had a severe hand injury and was seeing a microsurgeon for an evaluation.
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Patient education managers must stay abreast of the latest technology for delivering patient education to involve the learner and provide individualizing teaching to meet the needs of the learner, says Fran London, MS, RN, a health education specialist at The Emily Center, Phoenix (AZ) Children's Hospital.
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When case managers for Medical Management International visit clients and providers, they use the latest information technology equipment to enter documentation, create and transmit reports, forward orders for durable medical equipment, tests or procedures, and send letters to patients, physicians, attorneys, or other interested parties, all in real time while they are still with the patients.
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A comprehensive "prehabilitation" exercise program for patients with severe knee arthritis can improve strength and functional ability before knee replacement surgery, reports a study in the February issue of The Journal of Strength and Conditioning Research, official research journal of the National Strength and Conditioning Association.
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The last place patients want to end up after a hospital stay is right back in the hospital.
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A proactive approach to hospital readmissions by Health Alliance Plan (HAP) resulted in a 14% decline in readmissions for heart failure in the Medicare population when compared to the previous year.
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In a study reported online by the American Journal of Cardiology, Henry J. Michtalik, MD, MPH, and his colleagues tested heart failure patients on admission and discharge for levels of a protein that's considered a marker for heart stress.
