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Guideline-based care provided by occupational physicians is a cost-effective way to treat workers with common mental health problems, according to new research.
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Take these steps if you are asked to provide information that might be used in assessing the need for starting or continuing surveillance of an employee:
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A risk manager at your company asks you to report what an injured employee on workers' compensation tells you about their physical activities, because this employee is suspected of malingering. What will your answer be?
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In addition to providing case management and disease management programs to help members manage their chronic conditions, CIGNA Health Care has developed a Lifestyle Management Program that helps people at risk for a chronic disease avoid developing the condition.
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When new staff join the case management team at the Hospital of the University of Pennsylvania, they are trained by a team leader who works with them side by side and mentors them as they begin their new duties.
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Weight management and other components of metabolic syndrome are the target of many wellness programs at Warrenville, IL-based Navistar.
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Getting more involved in workers' comp is your "chance to show cost savings to upper management," says Moniaree Parker Jones, RN, MSN, COHN-S, CCM, formerly a senior occupational health nurse in the Alabama/Mississippi regional office of State Farm Insurance Co.
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"People think of insurance as somebody gets hurt, they submit a claim, they get paid, and that's the end of it, but there are all different types of programs," says Christine R. Zichello, RN, COHN-S, CSHM, ARM, FAAOHN, senior risk control specialist at PMA Insurance Group's Mount Laurel, NJ, branch office.
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A Medicare demonstration project in Florida that includes both telephonic case management and face-to-face interventions has improved clinical outcomes for beneficiaries who are eligible for both Medicare and Medicaid and have congestive heart failure or any combination of comorbidities that include congestive heart failure, diabetes, and coronary artery disease.
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As part of its efforts to promote healthy living and save health care dollars in the long run, Regence BlueCross BlueShield is rewarding members for adapting healthy lifestyles.