Centers for Medicare and Medicaid Services (CMS)
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In-house Physician Advisors Can Help Case Managers
Physician advisors, once associated primarily with payers and external vendors, can help case managers and other physicians with utilization management, discharge activities, and documentation accuracy.
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New Report Looks at Strategies for Treating Substance Abuse
An estimated 12% of adult Medicaid beneficiaries suffer from substance abuse disorder, according to 2011 government data.
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Case Managers Can Try Nondrug Strategies to Help Patients Cope With Pain
Healthcare providers are moving away from opioid-based pain management strategies to evidence-based social, behavioral, and psychological methods of helping people cope with chronic pain.
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National Pain Strategy Makes Recommendations in Six Areas
The National Pain Strategy by the U.S. Department of Health and Human Services outlines the government’s plan to reduce the chronic pain burden that affects millions of Americans and raises healthcare costs.
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Case Managers Cannot Ignore the Disease of Chronic Pain
Chronic pain is epidemic in the United States, and the medical community struggles with finding solutions that do not involve the use of opioids. Case management strategies can help by teaching patients to self-manage their pain.
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What Does Population Health Really Mean for Case Managers and Social Workers?
Population health has a fundamental goal to help high-risk individuals with chronic conditions to remain as healthy as possible for as long as possible.
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Bundled Payment Program ‘Changed the Landscape of Case Management’
Healthcare professionals are continuing to evaluate the progress of bundled payments as a way to manage the care received by patients.
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Motivational Interviewing Gains Strength in Patient-centered Care
An increasingly prominent practice centers on motivational interviewing as a way to help patients change behaviors, with a focus on helping them understand why those changes are needed.
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Case Management Program Helps Cancer Patients Navigate Care
Patients with high-acuity needs require 24-hour assistance every day, and families can easily become burned out from filling this role.
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Best Practices in Improving Morning Inpatient Bed Access
One hospital has developed a nine-step program involving case managers to improve patient flow and discharge efficiency.