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
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.
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.
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.
American Institute Health Care Professionals's insight:
From coding errors to front desk and denials, today's hosptials are losing money for a variey of reasons. Certified Case Managers can save money with their knowledge and service to the hospital. If you are interested in learning more about case management and its role in saving money for the hospital, then please review our program.
American Institute Health Care Professionals's insight:
Reduce cost, improve care? Daunting tasks, but it can be done and trained care and case managers will be pivotal parts in this process. This article takes a closer look at how plans are in the process of achieving these goals. If you are interested in learning more about case management, then please review our program
Nurses have a great opportunity to move from the beside to also the office. Hospitals and other health care institutions are looking for health care professi...
American Institute Health Care Professionals's insight:
This video on case management discusses the important role of a case manager and how to become certified. It also discusses the certification program of the American Academy of Case Management. If you are interested in learning more about case management, then please review the program and see if it matches your educational and professional needs.
New research in the July/August issue of Annals of Family Medicine suggests that time-strapped primary care physicians can, indeed, deliver preventive services recommended by the U.S.
Ever been to the doctor and felt like you were being told what to do and not really apart of the solution? Ever walked out of the doctors office knowing you weren't going to take the advice...
American Institute Health Care Professionals's insight:
Knowledge of medicare and its various programs are important for care manager to understand and to know. This is an important article for the field of case management.
Can your company boast a program that leads to positive feedback from your members, plus saves money and improves quality to boot? Aetna can. Its case management program involves trained nurse case...
American Institute Health Care Professionals's insight:
Case managers will be become more involved with these marketing trends as the future progresses. It may be well advised to become acquainted with them now
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.
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.
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.
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.
American Institute Health Care Professionals's insight:
Are accountable care organizations or ACOs failing? With less profit to show for and highed hospital stays and ER visits, the author of this article feels they are failing. How can case managers play a pivotal role in lowering the costs of health care?
Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013, it calls for minimum nurse-to-patient ratios and appropriate health IT tools.
American Institute Health Care Professionals's insight:
The legistlation hopes to improve quality care of patients with new safety proposals for hospitals to follow. More technology, better ratio of patient to nurse and better care management training are called for.
American Institute Health Care Professionals's insight:
Epidemics are always a chance in an ever evoling world of viruses. This threat is understood and feared. Disease management attempts to analyze how an epidemic would spread and how it could be controlled. This article talks about the epidic of the early Twentieth Century and how we might today face that.
Hospital readmissions are a major contributor the ever-rising cost of healthcare. As of October 2012, penalties have begun to be assessed to hospitals with readmission rates higher than average.
American Institute Health Care Professionals's insight:
Readmissions and good Case Management equal lower rates. Case Managers who can keep readmission down will be a great asset to not only their patients but also the hosptial administrationa..
Earlier all the data of a patient like pathology, allergy, medication, etc. was recorded in files, but now- a- days there is a new way of maintaining patient records- ‘Electronic Medical Records’!
The idea of being entirely paperless has never been fully embraced. Most healthcare professions will never be completely paper-free. See what you can do.
American Institute Health Care Professionals's insight:
A huge question is when should one's office go paperless. Certified case managers know the answer best because they deal with a variety of files and paper.
American Institute Health Care Professionals's insight:
A new and innovative program that all case managers should be aware of is the governments program to start a new diabets mail order program. Nurses certified in case management should take time and review this article.
American Institute Health Care Professionals's insight:
With new technologies in health management, comes new ways to manage them. Telehealth is an innovate way to visit the doctor without leaving your home.
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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
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