Best Practices in Case Management Patient Contact, Monitoring and Follow-up

One of the advantages of co-locating healthcare case managers in various care settings is the improved level of communication for a patient as they move through the continuum of care, says Jan Van der Mei, regional director of continuum case management for Sutter Health Sacramento Sierra Region. Ms. Van der Mei describes the major issues, such as medication reconciliation and patient and family education, that case managers face while helping patients to understand their health conditions and goals of care as they navigate the Sutter system. She also discusses how case managers can educate patients to avoid hospital readmissions through interventions and symptom management.

Ms. Van der Mei shared details on Sutter Health’s case management initiatives during Best Practices in Case Management Patient Contact, Monitoring and Follow-up, a 45-minute webinar on August 25, 2010.

Length: 5:27 minutes

Patient-Centered Medical Home Transformation: How Data Sharing Improves Physician and Business Performance

In another excerpt from a conversation with Metcare of Florida chief executives on its continuing medical home pilot with Humana, COO Dr. Jose Guethon describes the mechanics of sharing utilization and financial data with its physicians, and the impact of this practice and friendly competition between physicians has had on workflow, patient access, customer service and other key metrics.

Dr. Guethon and Metcare CEO Mike Earley described how Metcare practices have made the transformation to patient-centered medical homes, with an eye on maintaining the profitability of their practices, during Patient-Centered Medical Home Transformation: 9 Key Hurdles for Physician Practices To Overcome, a 45-minute webinar on May 12, 2010.

Length: 5:10 minutes

Minimum Medical Loss Ratios: How Health Plans Should Prepare for the January Compliance Requirements

What constitutes healthcare quality improvement? CMS’s definition of medical costs will likely coalesce around five key areas of quality improvement, say John Steele and Steve Young, managing directors for HealthScape Advisors. These CMS guidelines will impact health plans in January, when new medical loss ratio (MLR) regulations take effect. In this podcast, the advisors also describe the risk that insurers could incur on the rebate side if they don’t adequately prepare for the January changes and the impact the regulations could have on consumers’ medical care and choices.

Steele and Young provided an in-depth analysis of what health plans must do now to comply with the January deadline for MLRs and how this might impact health plans operationally and financially during Minimum Medical Loss Ratios: How Health Plans Should Prepare for the January Compliance Requirements, a 60-minute webinar on July 21, 2010.

Length: 15:39 minutes