BY GARRY CARNEAL, JD, MA Treating diseases of the brain is as important as treating any physical ailment or condition. Yet, the health insurance industry in the United States has never covered mental health and substance use disorders (MH/SUDs) appropriately. As a result, depression, anxiety, addiction and other mental health conditions…
BY KYLE J. WALKER, MHA, ATP The term wearables paints a very broad stroke, even for a healthcare canvas. Wearable can be something as simple as a pedometer worn on the pant hip, or a fitness watch, to a highly sophisticated robotic device used to aid in the movement of an…
BY SUSANNAH MARSHALL, BSN, RN-BC, CCM As a telephonic case manager for an insurance company, there are inevitably times when I have to speak with an angry or upset client. One of the best ways I have found to be able to compassionately and effectively calm down a client over the…
BY ANNE LLEWELLYN, MS, BHSA, RN, BC, CCM, CRRN Each month in the Legacy Leaders column, we meet a case management leader recommended by one of the past presidents of CMSA. The goal is to share information on up-and-coming leaders in case management who have contributed to the practice of case…
BY JOHANN ACHIM BEIßEL, MHA How One Case Manager Took a Health Insurance Company from Payer to Player It is the role of the case manager to advocate for the patient, often going to extraordinary lengths to secure the necessary treatments. Here, Johann Achim Beißel, a health insurance-based case manager from…
BY GARRY CARNEAL, JD, MA As a father and health insurance expert, I have been challenged to leverage my professional expertise to support family and friends. One of the biggest tests was watching my firstborn deal with addiction issues which pervaded her teenage years and early adulthood. A related pain point…