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Tag: Healthcare case management program

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Healthcare Case Management Program Article on Healthcare Costs

Healthcare Case Management Program Article on Healthcare Costs

Controlling healthcare costs is critical in any business.  This article looks at this issue closer Please also review our Healthcare Case Management Program The article, “How best-in-class employers control health care costs” by KATIE KUEHNER-HEBERT states, “Best-in-class large and mid-sized employers are able to more effectively control their health care costs and bettermanage HR functions, as measured by lower turnover and higher employee satisfaction, according to two Gallagher Best-in-Class Benchmarking Analysis reports, based on employer responses to Gallagher’s 2017 Benefits Strategy & Benchmarking Survey. Best-in-class large employers with 1,000 or more full-time employees achieved at least one of the following metrics for premium cost increases

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Healthcare Case Management Program Article on Denials

Healthcare Case Management Program Article on Denials

Good article for those interested in Case Management in regards smaller hospitals handling denails. Please also review our Healthcare Case Management Program The article, “How revenue cycle technology help small hospitals manage denials”, by Jeff Lagasse states, “Smaller hospitals often grapple with issues relating to patient access and overall eligibility denials. Some smaller facilities have been partnering with larger health systems in order to utilize their resources, but the need to shore up revenue cycle processes remains, with the goal of harnessing technology to smooth out some of the rough patches. A couple of years ago, New York’s Southampton hospital tapped

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Healthcare Case Management Program Article on Rising Healthcare Prices

Healthcare Case Management Program Article on Rising Healthcare Prices

Good article for those interested in Healthcare and healthcare related issues, please review this article on the increase of healthcare costs for employers trying to manage the ever rising prices Please also review our Healthcare Case Management Program and see if it matches your academic and professional needs. The article, “Employers Manage to Cap Increase in Health Care Costs at 2.6%” by Lee Barney states, “The 2017 Mercer National Survey of Employer-Sponsored Health Plans found that employers have been able to contain the rise in health care costs this year to 2.6%, essentially on par with the 2.4% increase in 2016.

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Healthcare Case Management Article on Managing Diabetes Costs

Healthcare Case Management Article on Managing Diabetes Costs

Good article for those interested in Healthcare Case Management. This article looks at the continuing efforts to manage the costs of diabetes. The article, Managing the Cost of Diabetes, by Laressa Bethishou states “Diabetes is one of the most common and costly chronic diseases, affecting more than 30 million Americans, with a total annual cost of $245 billion.1 Prevalence continues to increase as obesity rises, with the highest rates of diabetes found in minorities and older Americans. Consequences of diabetes include hypertension, coronary heart disease, stroke, chronic kidney disease, and blindness.2 Despite significant medical advancement in treatment, diabetes remains the seventh leading cause

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Healthcare Case Management Program Article on Rural and Urban Health

Healthcare Case Management Program Article on Rural and Urban Health

Good article on the differences between rurual and urban health plans and the inner dynamics of each Please also review our Healthcare Case Management Program The article, Health plan addresses urban vs. rural healthcare disparities, by Darnell Dent states, “The Pareto principle—also known as the 80/20 rule or the law of the vital few—states that across most topics and populations, roughly 80% of effects result from 20% of causes. Trends across the healthcare landscape appear to be tracking closer to this principle as disparities in healthcare access between rural and urban populations continue to escalate. According to the Health Resources &

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Healthcare Case Management Program Article on Risk Based Reimbursement

Healthcare Case Management Program Article on Risk Based Reimbursement

Good article for certified case managers or other healthcare professionals involved in health management executive positions Please also review our Healthcare Case Management Program The article, Health systems see returns on risk-based reimbursement, by Alex Kacik states, “In this year’s Modern Healthcare Hospital Systems Survey, only nine out of 60 respondents said they derived 10% or more of their net patient revenue in 2016 from risk-based contracts, which was largely in line with last year’s survey. Three-quarters of the respondents estimated that risk-based contracts generated 4% or less of their net patient revenue, but most indicated their share of risk-based contracts

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Healthcare Case Management Program Article

Healthcare Case Management Program Article

Good article for certified case managers to review Please also review our healthcare case management program The article, “Limited Healthcare Payment Incentives Challenge Care Management”  states “Misaligned healthcare payment incentives topped the list of challenges providers and payers faced when implementing effective care management programs under Medicare Advantage plans with capitated payments, a recent Robert Graham Center for Policy Studies in Family Medicine and Primary Care report stated. “Absent coordination of incentives, care management programs often result in offices hosting multiple care managers,” researchers wrote. “Different care managers can run services and inclusion criteria. This leads to confusion for both the patient

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Healthcare Case Management Program Article on Chronic Disease Management

Healthcare Case Management Program Article on Chronic Disease Management

Good article for certified case managers on the topics of healthcare case management, especially in the area of Chronic Disease Management Please also review our Healthcare Case Management Program The article, “Overcoming Patient Barriers to Chronic Disease Management” by Sara Heath states, “Improving adherence to chronic disease management and treatment plans is a critical facet of improving outcomes and keeping costs low. In order to engage patients, communicate efficiently, and help individuals achieve their wellness goals, providers must identify barriers to patient adherence and work collaboratively to overcome those obstacles. Chronic disease is a prevalent and expensive issue in the

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Healthcare Case Management Program Article on Global Healthcare Systems

Healthcare Case Management Program Article on Global Healthcare Systems

Good article about global healthcare systems and how we can learn from them and possibly incorporate some ideals into our own Please also review our Healthcare Case Management program and see if it matches your academic and professional needs. The article, “What Can We Learn From Global Health Care Systems? A Look at Health Care Systems from Around the World” states, “The workshop, Stated Preferences in Drug Evaluation: A Comparative Assessment of the Use of Stated Preference in the US, Canada, and the European Union [W11], was held yesterday afternoon. Discussion leaders included Axel C. Mühlbacher, PhD, MBA, Professor, Health Economics and Health Care Management,

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Healthcare Case Management Program Article

Healthcare Case Management Program Article

Good article for case managers.   Please also review our healthcare case management program The article, HIT Think How EHRs can support effective pop health strategies, by Richard A. Royer states   “The beginning of 2017 marked the start of the first MACRA reporting period and a step forward for value-based healthcare. Because of MACRA—the law behind the Quality Payment Program (QPP)—from this point on, quality and efficiency will be even bigger drivers of reimbursements. For physicians and their teams, the focus now needs to be on finding economical ways to do the most good for the most people, making