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HIV-1 adult treatment guidelines are updated; CMS extends coverage for some O2 patients
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The Agency for Healthcare Research and Quality (AHRQ) has unveiled a new interactive web-based tool that provides each state a way to evaluate its health care quality, thus providing another resource for benchmarking.
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As home health agencies look for ways to improve outcomes and increase their potential for success within a pay-for-performance (P4P) reimbursement system, disease management programs that allow staff members to specialize in care for specific types of patients may be the road to success for some agencies, according to experts.
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Care navigators meet with EmblemHealth members at primary care practices and coordinate all their non-clinical needs.
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Like many hospitals around the country, Mercy San Juan Medical Center in Carmichael, CA, has seen a steady increase in patients presenting to the ED with mental health problems. Officials attribute the problem to dwindling resources for mental health care and, in particular, the closing of an inpatient psychiatric unit in the region in 2009. Many of the patients who previously would have been stabilized in the inpatient unit are now showing up in the ED.
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Case managers are beginning to get the recognition they deserve and National Case Management Week Oct. 12-18 is the time to celebrate all the contributions that case managers bring to the healthcare arena.
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Margaret Leonard, who recently was presented the Lifetime Achievement Award by the Case Management Society of America, points out that the Affordable Care Act and other legislation all include the concept of care coordination.
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A multidisciplinary team at CareSource, a Dayton, OH-based health plan, coordinates care for at-risk pregnant women and follows them for a year, or longer, after the birth.
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When a team of physicians, nurse practitioners, case managers, and social workers provided care for at-risk members of Priority Health health plan in their homes, emergency department visits and inpatient admissions for patients in the program dropped by 47%.
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