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Recognizing that case management programs should be tailored to the special populations being served, health plans are creating specialty programs to meet the needs of their members.
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Pediatric case managers from UPMC for You collaborate with caseworkers to ensure that children in foster care get the care, preventive, and behavioral health services they need.
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Rather than just cutting off the supply of controlled substances, CareSource case managers work with members with substance abuse problems and help them reduce their dependency.
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While an increasing number of hospital systems are creating senior-friendly EDs, one new study suggests that many of the tenets of geriatric medicine are also applicable to the care of patients with complex health problems, especially with respect to care transitions.
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In a just-released report, the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) found that outpatient surgical procedures that do not pose significant risk to patients performed in ambulatory surgery centers (ASCs) have saved Medicare more than $1 billion in each of the last several years.
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The Centers for Medicare & Medicaid Services (CMS) has announced that it will delay implementation of the new quality reporting measure ASC-11, Cataracts: Improvement in Patients Visual Function within 90 Days Following Cataract Surgery, until Jan. 1, 2015, according to the Ambulatory Surgery Center Association (ASCA).
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With the help of personalized recorded discharge information and educational videos available to patients by telephone or computer, Cullman (AL) Regional Hospital has reduced 30-day readmissions by 15% and increased scores on the discharge section of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) by 63%.
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Rather than having the expense of each opening an outpatient surgery center, three healthcare organization in Nashua, NH, created a joint-venture center.