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The skills considered more important were communication skills, ethics, conflict resolution, time management, managed care, management principles, coding and billing, quality improvement, public speaking and risk management.
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Adding to the confusion is the multitude of names given to case management; care management, care coordination, disease management, and managed care being some of the most common in the nursing field.
Agency characteristics included the agency's code (identification number), and the corporation code and type (such as for-profit or healthcare facility) of the organization that manages the care management agency and affiliated service agencies providing care (visiting nurse, day care, bathing, and healthcare facilities).
But fewer than half felt they had had adequate exposure to health care systems and practice, an area of study that extends to subjects like medical economics, managed care, practice management and medical record-keeping.
For example, the health management organization (HMO Research Networkk combines data maintained by several managed-care health plans (such as Kaiser Permanente or Harvard Pilgrim Health Care).
In its place came health-maintenance organisations (HMOs), health-care-management companies that contract with doctors and hospitals to manage treatment and costs.
Catalyst Health provides pharmacy-benefit management (PBM) services to more than 1,000 clients, including managed-care organizations and benefit-plan administrators.
As the insurance industry caught on, its response was to implement managed care through case management in an attempt to control runaway costs.
The results indicate that more than 85% of the practices used the software for managed care or practice management activities.
It is critical that subjects predicted to be high-expenditure cases by models are "intervenable" so that their health status and medical utilization can possibly be improved and controlled through managed care or disease management programs.
The 'guidebook' contained information to enable the patient to self-manage their condition and a care management plan (Additional file 1: Table S1 online).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com