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Americas aging population and increasingly complex health care system have given rise to a relatively new field geriatric case management.
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Extensive outcomes studies to document the value of disease management are necessary to convince the health care industry that disease management is a viable solution to gaps in health care and poor outcomes for people with chronic diseases, asserts Derek Newell, vice president of outcomes measurement and product manager for LifeMasters Supported Self Care, an Irvine, CA-based disease management company.
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When the leadership team at Anthem Blue Cross and Blue Shield discussed its future medical management strategy in 2001, the team considered that proactive case management would be a major component.
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The pilot project for Anthem Blue Cross and Blue Shields proactive case management program was so successful that the insurer has expanded it to include 16,000 members who will receive intensive, personalized interventions to help them manage their chronic diseases.
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Almost all of the 5.9 million Americans who have diabetes but don't know it could be identified if people with just one risk factor are screened for diabetes, researchers at the University of Texas Medical Branch at Galveston say.
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Case managers and others who work with senior citizens have a new tool to help them advise their clients on appropriate care or living decisions.
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Making your EDs waiting area more child-friendly can have a tremendous impact on patient satisfaction, make your department more of a draw for children and their parents, and even ease staffs stress when caring for the youngest patients, according to ED managers who have remodeled with children in mind.
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In testimony before the U.S. Senate Special Committee on Aging, the president of the American Clinical Laboratory Association said that although labs are committed to compliance with the transaction standards, the Department of Health and Human Services needs to provide more specific guidance to assist providers struggling with implementation and also must streamline the mechanisms for development and maintenance of the transaction standards.
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The summer 2003 Industry HIPAA survey conducted by HIMSS (Healthcare Information and Management Systems Society) and Phoenix Health Systems found that not enough time was seen as the major roadblock to meeting the Oct. 16 implementation deadline for transactions and code sets. And that report helped set the stage for CMS and others to apply their contingency plans and continue to accept noncompliant claims.