POSTS & TUTORIALS
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. Take, for example, when organ transplantation networks first came on the scene. […]
Gene Therapy: The Next Big Thing Read More »
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. Digital technology links to digital learning, which is any
There’s an App for That Read More »
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 (Ross, 2006). From a nursing perspective, it is best to investigate the history of
The Value of Evidence-based Practice & Research in Case Management Read More »
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 how effective this mode of
Making an Impact on Public Policy Virtually Read More »
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. Research has shown that communication is a key barrier in slowing down claim processing (reference 1). One common challenge is
Improving Communications Between Case Managers and Clinicians Read More »
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. As a physician advisor, I have worked closely with case management leadership for several years to tackle barriers contributing to extended length of
