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Testimony: Molina - Joint Medicaid Oversight Committee
Testimony: Molina - Joint Medicaid Oversight Committee

... where caring for people was more important than their ability to pay. He believed every patient should be treated like family and founded Molina Healthcare on the principle that every person deserves access to quality doctors, nurses, and hospitals. Molina Healthcare nationally provides care coordin ...
Network News - LifeWise Health Plan of Oregon
Network News - LifeWise Health Plan of Oregon

... providers is that they were not aware of this. For me, this is just the beginning of the discussion. While imaging studies play an important role in the diagnosis and management of certain conditions, it is critical that providers and patients discuss the pros and cons, including the medical need fo ...
A Family Caregiver`s Guide to Care Coordination
A Family Caregiver`s Guide to Care Coordination

... professionals (such as nurses or social workers) or office staff who help schedule, arrange, and oversee services needed to maintain the health and well-being of someone with a serious or chronic illness. The role of professional care coordinators can vary. Some may focus on medical care while other ...
health care power of attorney - North Carolina Secretary of State`s
health care power of attorney - North Carolina Secretary of State`s

... form, and North Carolina law allows the use of other forms that meet certain requirements. If you prepare your own health care power of attorney, you should be very careful to make sure it is consistent with North Carolina law. This document gives the person you designate as your health care agent b ...
HEALTH CARE POWER OF ATTORNEY
HEALTH CARE POWER OF ATTORNEY

... form, and North Carolina law allows the use of other forms that meet certain requirements. If you prepare your own health care power of attorney, you should be very careful to make sure it is consistent with North Carolina law. This document gives the person you designate as your health care agent b ...
1.2 COMMUNITY DELIVERY TEAM PACK Draft v0 11
1.2 COMMUNITY DELIVERY TEAM PACK Draft v0 11

...  Contact GP for consultants wishing to discuss a patient with the practice unless they have a usual GP  Provide a medical overview to the CDT  Review, with the team, the risk stratification data and notes of patients identified by the care co-ordinators as being at risk of admission. Community Ma ...
Interim Federal Health Program for Syrian Refugees
Interim Federal Health Program for Syrian Refugees

... Depending on the number of refugees housed in ILS, they may receive health care services from teams of health professionals coordinated by the Public Health Agency of Canada at “mini-clinics” supported by resources from the Agency’s National Emergency Strategic Stockpile. If there are very few refug ...
Financing Geriatric Care in the United States
Financing Geriatric Care in the United States

... Medicare Part A – finances inpatient hospital care, post-acute skilled care, home care, and hospice care. All Medicare beneficiaries get Medicare Part A. Medicare Part B – finances outpatient care, including physician fees (for both outpatient and inpatient care), laboratory, and rehabilitation serv ...
Overview of the Palliative Care Service at Our Lady`s Children`s
Overview of the Palliative Care Service at Our Lady`s Children`s

... Children with severe neurological disability which may cause weakness and susceptibility to health complications. Deterioration may be unpredictable and not usually progressive. Severe multiple disabilities – following brain or spinal cord injuries, including some children with cerebral palsy. ...
Managed Care Practices: Watch Out for Skilled Nursing Facility Care
Managed Care Practices: Watch Out for Skilled Nursing Facility Care

... requires a combination of enhanced inpatient medical coverage (hospitalist care, multiple daily rounds), proactive interventions to avoid hospitalization, and the development of post–acute care alternatives to hospitalization. As acute care days decline, groups often find that this action has been a ...
Home Based Services Program Description
Home Based Services Program Description

... plans, services are not used for the longer term maintenance of patients with chronic diseases. With the creation of the Home-Based Services Program (HBS), CareFirst has launched an enhanced, purposeful use of HBS for those patients in Complex Case Management (CCM) or Chronic Care Coordination (CCC) ...
palliative care
palliative care

... Advanced care planning empowers the person to state their wishes in writing, in accordance with how they define quality of life.  By doing so, the burden of responsibility is removed from the surrogate and control is maintained by the resident.  As with preparing of a will, the plan cannot be atte ...
Slides
Slides

... 1. The hospital staff took my preferences and those of my family or caregiver into account in deciding what my health care needs would be when I left the hospital. 2. When I left the hospital, I had a good understanding of the things I was responsible for in managing my health. 3. When I left the ho ...
Chapter 01
Chapter 01

... Health Insurance Portability and Accountability Act (HIPAA) of 1996 Includes measures to standardize and computerize health care billing, claims, and reimbursement. Also dictates that patient data be transmitted securely. Public information about the quality of health plans ...
Radical Prostatectomy Post-Operative Order Set
Radical Prostatectomy Post-Operative Order Set

... ______ Patient has been assessed for VTE Prophylaxis Management: Bleeding Risk ______ VTE Prophylaxis Order Set if indicated to be signed by Authorized Provider ...
May 2011 - WNY Physician
May 2011 - WNY Physician

... newest women’s practice – Madonna ObGyn Invision Health. This experienced group of practitioners recognized that since the ObGyn is often the only doctor women see regularly, it was not a healthcare opportunity to squander. Committed to strengthening the patient relationship, these doctors make the ...
Traditional risk concerns could see benefit from ACA
Traditional risk concerns could see benefit from ACA

... That change means risk managers should be actively looking for the new or heightened areas of risk facing their organizations, says Maria Gonzalez Knavel, JD, a partner with the law firm of Foley & Lardner in Milwaukee, WI. One of the biggest risks for hospitals comes from the recent change in how f ...
NUR707_WK2_Wordscript
NUR707_WK2_Wordscript

... looks at what people believe about how the universe is basically structured; these beliefs usually flow out of one’s spirituality, worldview, or philosophy. People who hold more of a “destiny” orientation, for instance, believe that there are larger forces at work over which they have little control ...
HIE Goals and Governance
HIE Goals and Governance

... Private-mediated. Private-mediated HIOs, such as through a private business, include several subtypes: o Community hospital-supported HIOs, often in rural communities, are those in which the main hospital in the area supports an HIO across a geographic region to improve transitions of care. The part ...
The Value of Provider Integration, TrendWatch
The Value of Provider Integration, TrendWatch

... Likely to become More Integrated in the Next 3 Years, by Medical Specialty, 201313 ...
Postnatal ward Care: Quick reference guide
Postnatal ward Care: Quick reference guide

...  Food & fluids as desired. Post-surgery, early reintroduction of oral intake is encouraged:  Commence oral fluids& if tolerated commence solids. If N&V, gradual re-introduction over several hours may be required. See also Clinical Guideline, Anaesthetics: PostOperative Nausea &Vomiting Protocol  ...
Investigations and Artificial Hydration in Palliative Care
Investigations and Artificial Hydration in Palliative Care

... always be offered if of benefit, and that if not of benefit, the patient will continue to receive high quality care • If a patient is expected to die within hours or days, and you consider that the burdens of clinically assisted hydration outweigh the benefits, it will not usually be appropriate to ...
Person Specification
Person Specification

... To ensure the highest standards of patient care are delivered through the effective, efficient and safe running of the nursing home (in the Nurse Manager’s absence). You will also play a key role in developing the nursing home at a strategic level to achieve the Company's objectives as identified in ...
Aetna Completes Acquisition of Coventry Health Care, Inc. Moved!
Aetna Completes Acquisition of Coventry Health Care, Inc. Moved!

... Program. SilverSneakers is a leading wellness program designed exclusively for Medicare beneficiaries. Eligible members receive a basic membership with access to amenities and fitness classes including the signature SilverSneakers classes designed to improve muscular strength and endurance, mobility ...
SYMPOSIUM INTRODUCTION Fee-For-Service Medicine?
SYMPOSIUM INTRODUCTION Fee-For-Service Medicine?

... comparisons with other Westernized countries is an appropriate way to answer this question. Managed care is being imposed on the existing fee-for-service7 health care delivery system. This means that most of the players in the managed care world – physicians, hospitals, and insurers – are the same ...
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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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