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During October 2002, case managers from CIGNA HealthCare made hundreds of calls to female members reminding them to get a mammogram and educating them about breast cancer risks.
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The personal touch pays off for a health plan, Terri Cox Glassen, RN, MN, asserts.
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Theres an increased demand for the services of case managers but, at the same time, a shortage of nurses, who typically move into the case management role.
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While Americans still are unhappy on the whole with managed care, hostility and criticism have declined from their peak in 2000,
a new poll by Harris Interactive has found.
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Despite embracing technology in many aspects of their everyday lives, people are conflicted about the impact of information technology on their health care, according to a new survey.
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At SSM Rehab in St. Louis, diversity has become part of the institutional culture. Staff have successfully built diversity into its ongoing operations rather than instituting one program that would meet federal and industry guidelines, says Kurt Delabar, director of human resources.
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Case managers sometimes are confused as to what constitutes a business associate as referred to in the Health Insurance Portability and Accountability Act (HIPAA), notes Cathy Kauffman-Nearhoof, RN, BSN, CCM, NMCC, CLNC, owner of Integrist Healthcare Consulting in Duncansville, PA.
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Even with their dependence on health maintenance organizations (HMOs), many of the nations elderly suffer from a lack of coordinated care, are often confused about their treatment including proper use of medications and frequently end up in the hospital for lack of proper preventive measures.
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Ttwo frequently asked questions from the Department of Health and Human Services HIPAA web site that specifically address the types of communication that case managers and discharge planners engage in.
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A study by Irvine, CA-based Cogent Healthcare Inc. has confirmed what many case managers know instinctively: Following discharge from the hospital, many patients are confused about their medication, their discharge instructions, and when to follow up with their primary care physicians.