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There are 4 item(s) tagged with the keyword "Case Management".

Displaying: 1 - 4 of 4

Influence on Lifestyle Change Does Have an Impact on Outcomes

Once populations are targeted for support and intervention via our Poindexter advanced and predictive analytics (via current state and predicted risk factors), we’ve found that one of the most effective ways to support targeted employees and members is through live or telephonic nurse influence and intervention.

Nurses are able to deliver individuals the education and support they need to make important lifestyle and preventative care changes. This is one of the most effective programs that we’ve seen in delivering needed outcomes.

Tags: Healthcare Outcomes, Predictive Analytics, Population Health, Poindexter, Employee Health, Chronic Conditions, ER Utilization, Preventive Care, Hypertension, Case Management, Disease Management, Healthcare Analytics, Social Determinants of Health, Hypertension, High Cholesterol, Co-Morbidities, Population Health Analytics, Population Health Management, Health Outcomes, Diabetes
Part 2 - Preparing for a Kidney Transplant or Dialysis

Joy McGee-Cory - Senior Vice President, Advanced Plan for Health & Barbara Rutkowski, EdD, MSN, CCM - Vice President, Clinical Operations, Advanced Plan for Health

Members who are in chronic kidney disease at Stage 3 or 4 need to be approached about their plan of treatment. At this point the member may be in denial or unable to determine if they would like to be listed for a transplant, but it is not too early to start the process. The member needs to know about the importance of an early transplant listing decision, because it takes eligible individuals 24 months or longer on the transplant list to get a kidney. They can always change their minds and remove themselves from a transplant list, or list with more than one Center of Excellence to improve their chances for receiving a kidney.

This is a multi-part blog series. Part three will cover – The Cost of Dialysis and TPA and Medical Management Practices

Tags: Kidney Transplant, Kidney Disease, Dialysis, Kidney Failure, Chronic Kidney, CKD, Case Management, Predictive Analytics
Combating Opioid Addiction with Analytics and Case Management

The current opioid epidemic has shed light on the shortcomings of many wellness programs and the lack of preparedness by case management teams to handle chronic conditions and or patient behavior, such as addictive tendencies or duplicate therapy. But are case management teams solely to blame for lack of effective response to this costly health crisis? The simple answer is, no.

Many case managers do not have access to the data or tools required to employ a compelling and value-driven prevention model. Hence, what we see today is very little accountability or effective case management. What’s needed most is quality data to guide active engagement with patients.

Tags: Opioid, Addiction, Data, Big Data, Predictive Analytics, Account Management, Health Plan, Insurers, Healthcare, Brokers, Payers, Third Party Administrators, TPA, Epidemic, Case Management, Care Management, Care Manager, Wellness Program, Group Benefits, High Cost Claimants, Costs, Chronic Conditions, Behavior, Duplicate Therapy, Rx, Patients, Advanced Plan for Health, Actionable Insight, Health Intelligence, Poindexter, Self-Insured, Health Plan Sponsors, Catastrophic Medical Events, Drug Costs, ER Utilization
20 Daily Minutes of Stress-Free Recreation in the Workforce and What It Could Mean to Employers

In the above quote, TV powerhouse Oprah Winfrey, is discussing the positive effects of one type of wellness activity that has shown promise in the workplace: meditation and how it can promote a healthier, and compliant employee population.

Tags: Oprah Winfrey, Self-Insured, Employers, Wellness Program, Employee Health, Care Coordination, Member Compliance, Case Management, Predictive Modeling, Data Analysis, Health Intelligence, Population Health, Health Plan, Meditation, Reduced Stress, Reduced Anxiety, Reduced Depression, Reduced High Blood Pressure, Smoking Cessation, Heart Disease, Healthcare Costs

Displaying: 1 - 4 of 4