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Disease management is a newer type of health care delivery system that seeks to control costs better and improve patient outcomes for specific types of patie... 
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Newly-published research confirms that a Patient-Centered Medical Home initiative in North Carolina is lowering costs and improving care for Medicaid recipients.
American Institute Health Care Professionals's insight:
Good case management skills can help lower costs and provide better care. Case management programs can better train case managers in the proper skill sets. If you are interested in case management, then please review our program #casemanagementprogram
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Nursing Beyond the Bedside's curator insight,
May 10, 2013 1:12 PM
We are seeing an explosion of opportunities for Nurse Case Managers as the field evolves.
We thought you would enjoy this eBook from HIN.com that explores the trend towards case managers being colocated with primary care practices, hospital admissions, discharge, and ER teams and even post-acute facility staff to more efficiently coordinate the care of high-risk patients and health plan members.
Visit HIN.com for your FREE copy of the ebook "Evolution of the Embedded Healthcare Case Manager" http://www.hin.com/library/registerebookembeddedcasemanagement.html
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A nurse since 1984, Juanita Conner practiced in pediatrics for 12 years before transitioning into case management.
American Institute Health Care Professionals's insight:
Good case and care management helps navigate a person through recovery. This story is about good case management. If you are interested in learning more about case managament, then please review our program #casemanagementprogram
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October 1, 2012 marked the change in how hospitals received payment for health care provisions. The changes came in the form of two different areas of reform: penalties for readmissions and incentive to provide higher quality care.
American Institute Health Care Professionals's insight:
With new health care reform looming, hospitals and health care management must step up with better performances. Case management and case managers must work harder to ensure quality and better care to avoid penalties. Care and case managers will play pivotal roles in proper implementation of health care reform. #healthcaremanagement
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Caradigm, Geisinger Health Plan introduce new care management suite - Pharmaceutical Business ReviewCaradigm has launched its new population health suite called 'Care Management' to allow healthcare firms to effectively transition to value-based care
American Institute Health Care Professionals's insight:
A good article on how case management is important in health care in regards to better patient outcomes and reduced costs. If you are interested in learning more about case management, then please review our program #casemanagement.
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Ahead of the launch of the new health insurance exchanges on October 1, officials warn that private companies, interest groups and fraudsters are looking for ways to take advantage of consumers confused by the changes.
American Institute Health Care Professionals's insight:
Many people are confused with the opening of the insurance exchange. Many scammers will try to take advantage of unexpecting people. With this confusion, good healthcare managers will be able to guide their clients and patients away from any issues. #healthcaremanagers
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Researchers estimate the annual cost of the top five health care infections in the U.S. at $9.8 billion, with a third of that from surgical site infections.
American Institute Health Care Professionals's insight:
Sugerical site infections are a big issue that is costing hosptials billions. Case managers can help monitor and watch potential situations from developing into larger issues of infection. This article reviews how prevalent this issue for hospitalized patients. #casemanagementprogram
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These are the big ones to know before enrollment season.
American Institute Health Care Professionals's insight:
This is an excellent article that explains what medicare is and how it operates. It lists the eseential facts that those who are foggy on the issues of medicare do not understand. It is also an excellent resource for those who think they have a good understanding of the system. Certified case managers must have an excellent working knowledge of this program. #coursesforcasemanagement
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American Institute Health Care Professionals's insight:
A healthy relationship between physicans and a hospital are critical for optimal patients care. Managed care looks to help both these groups work together. This article looks into some of the basics for a good and healthy relationship between physicans and the hospital. #managedcareprogram
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With 2014 approaching rapidly, do you know how much you will pay for health insurance? Do you know the factors used to determine? Will you be able to afford or will you pay the penalty?
American Institute Health Care Professionals's insight:
Are insurance premiums rising? Probably yes but more so for healthy young males who will have to pick a large sum of the slack for the elderly and those below poverty lines. If you are interested in this and how it affects case managers, then please review our program. #programforcasemanagers
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The best way to keep your income stream flowing properly is to prevent claim denials. Read below for the top 7 denial reason codes and prepare a strategy to keep them to a minimum in your practice.
American Institute Health Care Professionals's insight:
Why is this claim or that claim denied? This article lists the top seven claim denials. Case Management can help alleviate denials through the expert work of certifed case managers. If you are interested in learning more about denials and case management, then please review the program. #onlinecasemanagementprogram
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Nurse managers need to understand the fundamentals of policy changes and how these relate to the financial health of their organization.
American Institute Health Care Professionals's insight:
#nursemanager #nursingmanager #nursemanagement #nursingmanagement #casemanage Good article on nurse management and the future of nursing managers.
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Nursing Beyond the Bedside's curator insight,
June 5, 2013 11:20 AM
According to a recent survey from HIN.com, 58% of respondents said that telephonic follow-up was the best way to improve medication adherence. See how other options ranked and share your best method for medication adherence with us.
Here's a link to the study information from HIN: http://www.hin.com/lp/hcpb060513_efforts_improve_medication_adherence_occur.html
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Family Law Newswatch
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A new survey suggests many remain confused about the marketplace.
American Institute Health Care Professionals's insight:
It is important to understand the nature of the healthcare insurance exchange because it affects everyone and is a law. Case managers can guide you as well but this article gives some important information you may need down the road. #casemanagementprogram
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Persons with alcohol and other drug dependence who received chronic care management including relapse prevention counseling and medical, addiction and psychiatric treatment were no more abstinent than those who received usual primary care.
American Institute Health Care Professionals's insight:
What is chronic care management? It is the delivery of care for chronic medical conditions or mental health issues. Case management can also play a big role in it and how it is delivered for optimum patient outcomes. #casemanagement
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Now Hiring! CASE MANAGER: Nursing Case / Care Management (Case Manager) at Aureus Medical... http://t.co/FzyM54BCbg #aureusmedical #jobs
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If you're in your 20s it's the ideal time to consider your future health care needs so you're financially ready to tackle health issues when they arise.
American Institute Health Care Professionals's insight:
Some good tips from certified case managers to you. Young people in their twenties have alot of opportunity to save some dollars here and there for health care from having a high deductible to ordering generic prescriptions. If you are interested in learning more about case management, then please review the program. #casemanagementprogram
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What factors go into the costs of healthcare? Fraud, waste, inefficiencies, limited number of primary care physicians, the rising costs associated with baby boomers, increased cases of chronic illness.....
American Institute Health Care Professionals's insight:
Why is health insurance so high? This article looks into it with informative graphs and other information that helps someone understand why the price of health care rises. If you are interested in case management or managed care, then please review the program #caremanagementprogram
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With preventive care becoming a staple of healthcare, how are providers to succeed in this new era in which they are accountable for outcomes not just services?
American Institute Health Care Professionals's insight:
This article discusses the major problems in managed care in the gap between discharge and follow up. It lists four primary issues that result in poor patient follow up care and potential readmission. Of the many issues, poor communicationw ith physician and hosptial is the first listed, leading to other issues involving lack of follow up and lack of clear and conside medication instruction. #casemanagers
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With 2014 rapidly approaching and the most significant year in terms of Healthcare Reform, many provisions/mandates have been delayed. Is Healthcare Reform just a way of pitting Democrats and Republicans against one another?
American Institute Health Care Professionals's insight:
This article looks at Obamacare and all the issues surrounding health care. Is it just politics? Or is that a rainbow at the end of Obamacare for the country. Case managers will find out as the rest of us as the law continues to develop and implement itself. #certifiedcasemanagers
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Healthcare costs are continuing to rise. Medicaid continues to expand. What is the best way to regulate medicaid drug costsprescription drug costs for the Medicaid community?
American Institute Health Care Professionals's insight:
Can managed care reduce prescription costs? Time will tell but pharmacies are becoming critical areas where this type of case management and care is essential. If you are interested in learning more about case management, then please review our program. #casemanagementcareers
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This is a video about disease management and how it is a division of case management. Disease management is a very important element in hospitals in not only preventing outbreaks but also helping others with recovery
#casemanagementprogram