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A comprehensive program that includes face-to-face assessments and telephonic health coaching is helping Medicare beneficiaries in Tennessee with diabetes or congestive heart failure learn to manage their health.
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There's no doubt that chronically ill patients who have the best outcomes are those who adhere to their treatment plan and receive care that follows evidence-based clinical guidelines.
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Record numbers of veterans will die this year, and veteran deaths will remain high for the next decade, experts say.
Community hospices provide care to many of these veterans at the end of their lives, sometimes without hospice staff knowing their patients were in the service. Experts say hospice professionals often do not realize how their patients' military service or war-time experiences might color the way they face their own deaths.
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Research shows that people with severe mental illness are at greater risk of becoming infected with HIV, their care is more costly when they are infected, and their health outcomes are worse than populations without mental illness.
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A comprehensive program that helps members manage the five most common chronic diseases has lowered medical cost trends by 1.5% to 2% for all members in Independence Blue Cross's Medicare, HMO, and PPO plans, according to a recent cost-savings analysis.
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By partnering with community-based providers throughout the state, Optima Health of Virginia Beach, VA, provides one-on-one intensive case management to high-risk members in its Medicaid disease management programs. Optima Health is a service of Sentara Healthcare.
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Helping an employee return to work after a diagnosis of depression is similar in some ways to planning return to work after a physical injury, but depression demands a different consideration of limitations, timing, and clinical monitoring than most physical injuries or illnesses.
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Pay-for-Performance (P4P) programs can improve both medical care and quality of life by giving health care providers a financial incentive to seek measurable improvements in the health of their patients, according to a National Press Club briefing in Washington, DC, in November.
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Since its one of the oldest incentive programs in the country, it might not come as a big surprise that Blue Cross Blue Shield of Michigan was among seven Robert Wood Johnson Foundation Rewarding Results grantees selected to highlight its successes in pay-for-performance programs during a National Press Club briefing in Washington, DC, last November, but the results it has achieved to date are nonetheless impressive.
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Premera Blue Cross new Case Management Collaboration Tool allows case managers to spend more time working with members, helping the company save an estimated $9.6 million a year.
