BY MARY PAQUETTE, RN, BSN, CCM, AND MELINDA BAXTER, RN, MSN, CCM
Gene therapy is the latest high-cost challenge facing health plans and reinsurers alike. The need to understand issues associated with treatments, medical management, network management and contracting will evolve and persist.
BY DR. COLLEEN MORLEY, DNP, RN, CCM, CMAC, CMCN, ACM-RN, FCM
Digital technologies are electronic tools, systems, devices and resources that generate, store or process data. Social media, online games, multimedia, patient portals and “apps” are just a few examples on how healthcare has leveraged digital technologies.
BY DR. LISA PARKER-WILLIAMS DNP, MBA, RN, CCM, AND KATHLEEN PARRY, BSN, RN, CCM
When one thinks about evidence-based practice (EBP), some of us in the healthcare world question whether it is a “buzz” word or if this is being implemented into practice.
The pandemic has changed so much of what we do and how we do it, but it has not stopped CMSA from advocating for case managers everywhere. The CMSA Public Policy Committee hosted the organization’s very first Virtual Hill Visits program earlier this year, and while many were skeptical about…
BY KEEMIA VAGHEF, PhD, KERRI WIZNER, MPH, AND PAUL M. JACOBSON, JR., BS
Receiving timely, accurate and complete information supports case managers in their duty to patients for coordinating care, supporting return to activity and advocating for improved health.
BY ANUJA MOHLA, DO, MBA, CHCQM-PHYADV
Physician advisor leadership, in conjunction with case management expertise, can be an effective tool in discharge planning to manage length of stay in an acute care setting.
BY MICHAEL JOHNSON, BSN, RN, HN-BC
Case managers have been using electronic systems that identify clients for outreach for many years. Whether daily, weekly or monthly, a list of clients is presented for the case manager to initiate engagement.
BY MARK FRANCIS
Digital innovations continue to transform the healthcare landscape. While concerns surround certain aspects of technological advancement, such as data privacy and security, the digital trends we are seeing in the health field are bringing about much-needed, positive change.
BY BARBARA ROBBINS, RN, BSN, MB
The COVID-19 pandemic led to great growth in virtual collaborative care teams with telehealth tools. In one study, the use of telehealth tools in February 2021 was found to be 38 times higher than pre-pandemic levels and a catalyst to home care.
BY DENNIS ROBBINS, PhD, MPH, AND ROGER SANFORD
Healthcare in the U.S. is headed in the wrong direction. The 2021 World Bank’s report found that, without healthcare reform, U.S. health spending will increase to $2.5 trillion in the next decade. This trend is unsustainable.