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medicalrespite_leon... - National Health Care for the Homeless
medicalrespite_leon... - National Health Care for the Homeless

... develop a new system of care to better meet the healthcare needs of chronically ill homeless persons who frequently use hospital emergency department care. This new model utilizes the full resources of a world class hospital to provide the emergency, critical care, then through careful discharge pla ...
Community Medication Management
Community Medication Management

... community-wide clinical data and information exchange – Improve quality outcomes by providing value-added services to ACO’s, self insured employers, and other risk contractors ...


... payment method, including per-patient monthly allotments for providing access, coordination, teams, and serving as a “medical home” as well as fees for visits or incentives for quality. In most other countries, hospital and inpatient physician services are “bundled” into a single system of payment, ...
Health Information Records Service
Health Information Records Service

... detailed to allow other health care personnel, of the same discipline, to assume care of the patient or to ...
Preventative Care
Preventative Care

... management and treatment of their illness. But for many scheduling regular appointments with their primary care physician is not as high of a priority. In order to be proactive about their overall health, chronically ill patients need to ensure regular exams and annual screenings are part of their c ...
Continuing health care needs
Continuing health care needs

... services, hindering inclusion of their disabled child in society and placing unnecessary burdens on already stretched specialist services. • A lack of skills and training make situations more difficult and upsetting for disabled children and their families. ...
Tatiana`s story
Tatiana`s story

... The goal of the program is to keep emergency room visits to a minimum when COPD patients can be managed at home. “e-Homecare provides patients with education on their disease, medications used, and what signs and symptoms to look for,” says CCAC Rapid Response Nurse Monica Barros. “The rapid respons ...
Transitional care in the med
Transitional care in the med

... transitional care. 2. To gain knowledge on transitioning the youth with special health care needs. 3. To understand transitional care in the context of Med-Peds training. 4. To gain resources to promote effective transitioning of youth with special health care needs. ...
Oral Surgery - Operation Access
Oral Surgery - Operation Access

... There is a strong continued need for OA services despite the Affordable Care Act, including undocumented and recent immigrants, as well as timely care for new Denti-Cal patients. California faces a severe shortage of Denti-Cal providers to treat the influx of new Denti-Cal beneficiaries, which has l ...
Convenience Care: Is It Disease Management?
Convenience Care: Is It Disease Management?

... Strong referral network for each center: • For patients outside scope of practice • For primary care • For low-cost care options • All patients advised to have “medical home” Communications To All Primary Care Providers in the Market to educate on the model ...
Reducing Medical Costs and Improving Clinical Care, Coordination
Reducing Medical Costs and Improving Clinical Care, Coordination

... Kaiser Foundation Health Plan of Colorado ...
My Care Binder
My Care Binder

... care for your child need to know about your child? STEP 2: Gather any information you already have – such as reports, hospital stays, and test results STEP 3: Choose pages from the “Care Binder” packet that you like STEP 4: Put together your “Care Binder” – you can use tabbed dividers or pocke ...
TMF
TMF

... because we have bought multiple licenses, practice leadership, informatics staff and healthcare providers can review performance outcomes. ...
Dr. Linda D. Urden - National Association of Clinical Nurse Specialists
Dr. Linda D. Urden - National Association of Clinical Nurse Specialists

... Educate, train, increase the nursing workforce needed for improved health care system (EB orientation programs, mentor new and tenured staff) ...
Practice-Based Learning and Designing a Quality Improvement
Practice-Based Learning and Designing a Quality Improvement

... All systems affected: managed care, fee-for-service, big/ small communities Must change system of healthcare delivery to improve quality Chassin MR,JAMA1998;280:10005. ...
Doug Thompson - Health Affairs
Doug Thompson - Health Affairs

... cultural and linguistic expertise, academic programs, and public & community health programs serving 90,000 primary care patients – 80% public payer ...
South Dakota`s Oral Anticancer Treatment Access Law: What
South Dakota`s Oral Anticancer Treatment Access Law: What

... Traditionally, IV chemotherapy treatments are covered under a health plan’s medical benefit where the patient is required to pay an office visit copay, usually between $20 and $30. Conversely, oral anticancer medications are covered under a health plan’s prescription benefit and, many times, patient ...
Coordination of Care Form - Blue Cross and Blue Shield of Illinois
Coordination of Care Form - Blue Cross and Blue Shield of Illinois

... Coordination of Care Form The Blue Cross and Blue Shield of Illinois Behavioral Health Care Management program continually strives to promote coordination of member care between medical and behavioral health providers. However, we understand that one of the most difficult challenges for providers to ...
Redesigning Insurance Benefits and Consumer Cost-Sharing for High-Cost Surgical Services Issue Brief
Redesigning Insurance Benefits and Consumer Cost-Sharing for High-Cost Surgical Services Issue Brief

... Most PPO products impose an annual deductible, ranging from $250 up to $10,000, that must be paid by the patient before the plan begins paying; most lie in the range between $500 and $1,000. These are structured on a calendar year basis rather than linked to episodes. Deductibles require the patient ...
Thurs_1150am_PotomacAB_Business_ Claims Data How to
Thurs_1150am_PotomacAB_Business_ Claims Data How to

... Oncology is Different: Direct from Clinic /Physician Scheduled Admissions Care management requirements in oncology differ from other bundle payment models due to the severity of illness. Patients are admitted from clinic/by physician often. Medicare claims data can be organized & modeled to reflect ...
Resource - The Center for Care Innovations
Resource - The Center for Care Innovations

... o Receptionists often feel caught between provider and patient demands, or that the complexity of their work is unappreciated by the physicians. o “Front line receptionists have a stressful job, with 68% experiencing verbal abuse from patients.” 3 o 60% of employees working for health care employers ...
Homeless-Children-wi.. - National Health Care for the Homeless
Homeless-Children-wi.. - National Health Care for the Homeless

... occupancy facility, abandoned building or vehicle; or in any other unstable or non-permanent situation. An individual may be considered to be homeless if that person is ‘doubled up,’ a term that refers to a situation where individuals are unable to maintain their housing situation and are forced to ...
Primary care
Primary care

... and secondary care.  Care redesign to ensure people see the right person at the right time in the right setting including self-care where appropriate, and that staff are able to free up capacity thus ‘releasing time for patients’. Innovations exist to support and improve access to primary care serv ...
NAME - Massachusetts Department of Higher Education
NAME - Massachusetts Department of Higher Education

... Medical Spa Manager  Managed and supervised all operational functions of Newton Center; annual revenue in excess of $900,000.  Responsible for Center profitability as well as all administrative functions, including scheduling, forecasting sales, payroll, inventory, and supply chain management.  M ...
1 T/day - McGraw Hill Higher Education
1 T/day - McGraw Hill Higher Education

... coverage to those with $1,000 deductibles – First-dollar coverage pays all expenses for the insured's health care – $1,000 deductible pays all expenses after the patient has paid $1,000 – Deductible patients spent 40 – 50% less on health care and had the same health outcomes ...
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Managed care

The term managed care or managed health care is used in the United States to describe a variety of techniques intended to reduce the cost of providing health benefits and improve the quality of care (""managed care techniques""), for organizations that use those techniques or provide them as services to other organizations (""managed care organization"" or ""MCO""), or to describe systems of financing and delivering health care to enrollees organized around managed care techniques and concepts (""managed care delivery systems"")....intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as Health Maintenance Organizations and Preferred Provider Organizations.The growth of managed care in the U.S. was spurred by the enactment of the Health Maintenance Organization Act of 1973. While managed care techniques were pioneered by health maintenance organizations, they are now used by a variety of private health benefit programs. Managed care is now nearly ubiquitous in the U.S, but has attracted controversy because it has had mixed results in its overall goal of controlling medical costs. Proponents and critics are also sharply divided on managed care's overall impact on the quality of U.S. health care delivery.
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