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UCares care coordinators are the hub for communication among providers treating the Minneapolis health plans dual eligible members enrolled in one of two care plans depending on their age.
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Individuals who are dually eligible for Medicare and Medicaid have complex medical and social service needs, and many also have behavioral health issues, making coordination of care a challenge.
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A common refrain of ED administrators is that when it comes to patient flow, there is only so much they can do to eliminate wait times when the upper floors cannot quickly accommodate admissions from the ED.
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Network Health is participating in a demonstration project that integrates Medicare and Medicaid benefits for individuals ages 21 to 64.
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WellCare Health Plans case managers meet face to face with dual eligible members and conduct an assessment that looks at the individuals living environment and social support system, as well as medical and behavioral health issues.
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Patients released from one hospital and readmitted to another within 30 days are more likely to die within the next month than those readmitted to the same hospital, according to a study from Canada.
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Patient sitters are a somewhat controversial strategy for reducing patient falls, with many administrators arguing that the cost of paying someone to sit in a room and watch a patient all day cannot be justified.
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Two critically important infection control issues injection safety and antibiotic resistance are vying to be the top priority in the next phase of the Department for Health and Human Services (HHS) Action Plan to Prevent Healthcare-Associated Infections (HAIs), said Don Wright, MD, MPH, Deputy Assistant Secretary for Healthcare Quality at the HHS.
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The Centers for Disease Control and Prevention has created a new website to alert infection preventionists, clinicians and the public about a deadly but poorly understood syndrome: sepsis.