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Patients who recently were hospitalized but who may not be eligible for disease management or care management programs get support in complying with their post-discharge instructions through a care management followup program by BlueCross BlueShield of Minnesota.
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A team of behavioral health case managers and disease management case managers work together to manage the care for members with chronic diseases and depression at Health Alliance Plan.
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For many years, many people thought of depression as an imaginary disease, but the health care industry is beginning to recognize how prevalent depression really is and is taking steps to help people learn to cope with this devastating disease.
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Members who seek treatment for depression and anxiety from a primary care physician are getting help managing their condition through a new program from CIGNA HealthCare.
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An intensive case management program that provides case management, disease management, and behavioral health coordination for high-risk, high-cost members has resulted in savings of $6.1 million in a 12-month period for Keystone Mercy Health Plan.
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Health plans are beginning to take a holistic approach to managing patient care, focusing on the member's overall health instead of just one condition or episode of care.
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Similar to teaching, documentation must meet the needs of a patient. While some documentation is better than no documentation, more detail benefits the patient because it directs staff members on the status of the education process.
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With individuals who are ages 65 and older undergoing almost one-third of the 25 million surgical procedures performed annually, and with people ages 85 and older representing the fastest growing segment of our population, it is important that any surgical program pay close attention to the special needs of older patients.
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At Crescent PPO, case managers follow their clients through the continuum, helping them with all of their needs, whether it's disease management, case management, education about a chronic condition, or help navigating the health care system.
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Under a new holistic case management program at Regence BlueCross BlueShield, one case manager, called a care advocate, follows members along the continuum of care, no matter what their health care needs.