cigna case management program:Improving the Quality of Health Care for Mental and Substance-Use Conditions Institute of Medicine, Board on Health Care Services, Committee on Crossing the Quality Chasm: Adaptation to Mental Health and Addictive Disorders, 2006-03-29 Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€use conditions will benefit from this guide to achieving better care.
cigna case management program:The Case Manager's Handbook Catherine M. Mullahy, 2013-06-20 Written by renowned author Catherine Mullahy, The Case Manager’s Handbook, Fifth Edition is the ultimate how-to guide for case managers. This practical resource helps case managers build fundamentals, study for the Certified Case Manager (CCM) exam, and most importantly, advance their careers after the exam. Written for all professionals in all practice settings in case management, it uses real-life examples and an easy-to-read, conversational style to examine the case management process while presenting practical procedural information. An excellent daily reference and training guide for new case managers and seasoned professionals in various setting, The Case Manager’s Handbook, Fifth Edition is the “go-to” resource for facing the day-to-day challenges of case management, especially as the nation navigates through the many changes introduced by the landmark Patient Protection and Affordable Care Act. Significantly updated and revised, it contains eight new chapters: * Hospital Case Management: Changing Roles and Transitions of Care * Patient Centered Medical Home, ACOs, Health Exchanges * Evidence-Based Practice * Public Sector Reimbursement * Predictive Modeling * Pain Management * Health Technology, Trends, and Implications for Case Managers * The Affordable Care Act of 2010: Implications for Case Managers Included with each new print book is an Access Code for a Navigate Companion Website for students with objectives, multiple choice questions, and bonus appendices.
cigna case management program:CMSA Core Curriculum for Case Management Hussein M. Tahan, Teresa M. Treiger, 2016-07-05 The fully updated CMSA Core Curriculum for Case Management, 3rd edition, is the definitive roadmap to an informed, effective, collaborative case management practice. This comprehensive, expertly-written guide provides those directly or indirectly involved in case management with information about best practices, descriptions of key terms, essential skills, and tools that fulfill the current Case Management Society of America’s (CMSA) standards and requirements. Addressing the full spectrum of healthcare professional roles and environments, this is both a crucial certification study guide and vital clinical resource for the case management professionals in all specialty areas, from students to veteran case managers. This unique resource provides the core knowledge needed for safe, cost-effective case management with the following features ... NEW text boxes highlighting key information and vital practices in each chapter NEW and updated Standards of Practice implications in each chapter NEW and updated content on transitions of care, community-based care, care coordination, Value-Based Purchasing, ethics and social media, the impacts of health care reform, and digital technology NEW and updated content on accreditation in case management NEW chapter that lists key additional resources, by topic Official publication of the Case Management Society of America, connecting CMSA core curriculum to current CMSA Standards of Practice Easy-to-grasp, detailed topical outline format for quick scan of topics Complete, updated core knowledge required of case managers, with expert descriptions and direction on areas including: Case management roles, functions, tools, and processes Plans, clinical pathways, and use of technology Transitional planning Utilization management and resource management Leadership skills and concepts Quality and outcomes management; legal and ethical issues Education, training, and certification Health care insurance, benefits, and reimbursement systems Practice settings and throughput Interdisciplinary teams’ needs in: hospitals, community clinics, private practice, acute care, home care, long-term care and rehab settings, palliative care, and hospice settings Up-to-date guidance on case management specialty practices, including: nursing, life care planning, workers’ compensation, disability management, care of the elderly, behavioral health, transitions of care, subacute and long-term care, utilization review/management, primary care and medical/health home, and more Essential content for academic reference, training, certification study, case management models design, performance or program evaluation
cigna case management program:CMSA Core Curriculum for Case Management , 2008 This text contains the core body of knowledge for case management practice as delineated by the Case Management Society of America (CMSA), the largest professional organization of case managers. The core curriculum provides a synthesis of case management evolution, and presents essential elements, concepts, and vision for current and future case management practice. This edition is significantly expanded to reflect the dynamic changes taking place in case management. Each chapter is organized in a consistent format that includes learning objectives; introduction; important terms and concepts; key definitions; and references.
cigna case management program:Patient Navigation Elizabeth A. Calhoun, Angelina Esparza, 2017-05-24 Documenting the success and result of patient navigation programs, this book represents the culmination of years of research and practical experience by scientific leaders in the field. A practical guide to creating, implementing, and evaluating successful programs, Patient Naviation - Overcoming Barriers to Care offers a step-by-step guide towards creating and implementing a patient navigation program within a healthcare system. Providing a formal structure for evaluation and quality improvement this book is an essential resource for facilities seeking patient navigation services accreditation.
cigna case management program:COLLABORATE(R) for Professional Case Management Teresa Treiger, Ellen Fink-Samnick, 2015-04-15 This book is about the progressive improvement of case management beyond that which it exists to that of a practice specialty focused on professionalism and collegiality across all practice settings. Our desire to produce a framework for such practice began when we connected several years ago. It was a result of a dialogue; the sharing of our stories and experiences. Separately, we were already passionate about and committed to case management excellence. Together, our vision coalesced to form this competency-based framework for advancing case management captured by an acronym which defined the essence of professional practice---COLLABORATE. We spent hours discussing the implications of a perceived epidemic involving less than productive interactions between individuals working under the title of case manager with consumers, providers, and clinical colleagues. These accumulated experiences heightened our commitment to lead much-needed change. Our conversation endured over many months as we realized a shared: Respect for case management’s rich heritage in healthcare, across professional disciplines and practice settings; Concern for those factors which devalue case management’s professional standing; Agreement that while the practice of case management transcends many representative professional disciplines and educational levels, each stakeholder continues to cling to their respective stake in the ground; and Belief of the importance for case management to move from advanced practice to profession once and for all. COLLABORATE was borne from a vision; the mandate to solidify a foundation for case management practice which combines unique action-oriented competencies, transcends professional disciplines, crosses over practice settings, and recognizes educational levels. The ultimate focus is on improving the client’s health care experience through the promotion of effective transdisciplinary collaboration. COLLABORATE recognizes the hierarchy of competencies and practice behaviors defined by the educational levels of all professionals engaged; associate, bachelors, masters and doctoral degrees across practice disciplines. Through this approach, every qualified health and human service professional has a valued place setting at case management’s ever-expanding table. Each of the competencies are presented as mutually exclusive and uniquely defined however, all are complementary and call on the practitioner to conduct work processes in a wholly integrated manner. While appearing in order for the acronym’s sake, they are not necessarily sequential. Ultimately, case management is an iterative process. When united in a comprehensive and strategic effort, the COLLABORATE competencies comprise a purpose-driven, powerful case management paradigm. The agility of this model extends to use of key concepts that include both action-oriented verbs and nouns, which are significant elements in any professional case management endeavor. To date, case management practice models have been driven by care setting and/or business priorities. Unfortunately, this exclusivity has contributed to a lack of practice consistency due to shifting organizational and regulatory priorities. However, this is only one reason for a fragmented case management identity. COLLABORATE recognizes and leverages these important influencers as critical to successful practice and quality client outcomes. Interprofessional education and teamwork are beginning to emerge as the means to facilitate relationship-building in the workplace. Through this approach, health care practitioners absorb the theoretical underpinning of intentionally work together in a mutually respectful manner which acknowledges the value of expertise of each care team stakeholder. This educational approach provides the opportunity to engage in clinical practice that incorporates the professional standards to which we hold ourselves accountable Innovative and emerging care coordination models, defined by evidence-based initiatives, appear across the industry. Each promotes attention to interprofessional practice in order to achieve quality patient-centered care. Herein lies an opportunity to demonstrate the value drawn from diverse expertise of case managers comprising the collective workforce. However a critical prefacing stage of this endeavor involves defining a core practice paradigm highlighting case management as a profession. The diverse and complex nature of population health mandates that case management intervene from an interprofessional and collaborative stance. While inherent value is derived from the variety of disciplines, this advanced model unifies case management’s unique identity. Now is the time to define and adopt a competence-based model for professional case management. COLLABORATE provides this framework. This text is presented in four sections: Section 1: Historical validation of why this practice paradigm is critical for case management to advance to a profession; Section 2: Presentation of the COLLABORATE paradigm, with a chapter to devoted to each distinct competency and the key elements; Section 3: Practical application of the book’s content for use by the individual case manager and at the organizational level; and The Epilogue: Summarizes the COLLABORATE approach in a forward-looking context. For the reader with limited time, reviewing Section 2 provides the substantive meat associated with each of the competencies. Our ultimate desire is that the COLLABORATE approach provides an impetus for all stakeholders (e.g., practitioners, educational institutions, professional organizations) to take the necessary steps toward unified practice in order to facilitate the transition of case management considered as a task-driven job to its recognition as being a purpose-driven profession. The book provides a historical validation of why this new practice paradigm is critical for case management to advance as a profession; presents the COLLABORATE paradigm, with a chapter to devoted to each distinct competency and the key elements; and covers the practical application of the book’s content by individual case managers, and at the organizational level.
cigna case management program:Health Care Management and the Law Hammaker, Thomas M. Knadig, 2017-03-02 Health Care Management and the Law-2nd Edition is a comprehensive practical health law text relevant to students seeking the basic management skills required to work in health care organizations, as well as students currently working in health care organizations. This text is also relevant to those general health care consumers who are simply attempting to navigate the complex American health care system. Every attempt is made within the text to support health law and management theory with practical applications to current issues.
cigna case management program:Essential Readings in Case Management Catherine M. Mullahy, 1998 Bullets in Emergency Medicine: Review and Reminders in Pursuit of Evidence-Based Decisions is a concise guide to the diagnosis and treatment patients in the Emergency Department. Arranged by signs and symptoms as well as by system, this accessible handbook is an ideal reference for use in the Emergency Department and a perfect review for the ACEP boards.
cigna case management program:Proceedings , 1990
cigna case management program:The Medicare Handbook , 1988
cigna case management program:National Summary of State Medicaid Managed Care Programs , 2003
cigna case management program:Public Health Reports , 1994
cigna case management program:U. S. Behavioral Health Management Industry Report 2011-2012 Laura Morgan, 2011-04-27
cigna case management program:Managed Care Pharmacy Practice Robert P. Navarro, 2008-12-11 Managed Care Pharmacy Practice, Second Edition offers information critical to the development and operation of a managed care pharmacy program. The text also covers the changes that have taken place within the delivery of pharmacy services, as well as the evolving role of pharmacists.
cigna case management program:Guide to Clinical Resource Management Mickey L. Parsons, 1997 The Handbook of BioPharma Industry Acronyms & Terms is a comprehensive reference listing all terms and abbreviations used in the development and marketing of drugs.
cigna case management program:The Future of the Medicare Program United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment, 1996
cigna case management program:What Women Want United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions, 2011
cigna case management program:Social Isolation and Loneliness in Older Adults National Academies of Sciences, Engineering, and Medicine, Division of Behavioral and Social Sciences and Education, Health and Medicine Division, Board on Behavioral, Cognitive, and Sensory Sciences, Board on Health Sciences Policy, Committee on the Health and Medical Dimensions of Social Isolation and Loneliness in Older Adults, 2020-05-14 Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.
cigna case management program:Health Security Act of 1993 United States. Congress. Senate. Committee on Labor and Human Resources, 1993
cigna case management program:National Summary of State Medicaid Managed Care Programs United States Government Printing Office, 1999-04
cigna case management program:Leadership and Nursing Care Management Diane Huber, 2013-09-24 Research Notes in each chapter summarize relevant nursing leadership and management studies and show how research findings can be applied in practice. Leadership and Management Behavior boxes in each chapter highlight the performance and conduct expected of nurse leaders, managers, and executives. Leading and Managing Defined boxes in each chapter list key terminology related to leadership and management, and their definitions. Case Studies at the end of each chapter present real-world leadership and management situations and illustrate how key chapter concepts can be applied to actual practice. Critical Thinking Questions at the end of each chapter present clinical situations followed by critical thinking questions that allow you to reflect on chapter content, critically analyze the information, and apply it to the situation.A new Patient Acuity chapter uses evidence-based tools to discuss how patient acuity measurement can be done in ways that are specific to nursing. A reader-friendly format breaks key content into easy-to-scan bulleted lists. Chapters are divided according to the AONE competencies for nurse leaders, managers, and executives. Practical Tips boxes highlight useful strategies for applying leadership and management skills to practice.
cigna case management program:Health Plans Unmasked Martin Lustick, 2023-07-04 This book is written for leaders of provider organizations as a strategic guide to value-based contracting with health plans. In this book the author describes why insurance companies do the things they do, in order to help show ways to approach them efficiently and successfully. The book also describes how providers can put the pieces in place to make transitions to value-based care as painless as possible--
cigna case management program:Saunders Comprehensive Review for the NCLEX-PN® Examination - E-Book Linda Anne Silvestri, Angela Silvestri, 2020-12-23 Get the best review for the NCLEX-PN® exam from the leading NCLEX® experts! Written by Linda Anne Silvestri and Angela E. Silvestri, Saunders Comprehensive Review for the NCLEX-PN® Examination, 8th Edition provides everything you need to prepare for success on the NCLEX-PN. The book includes a review of all nursing content areas, more than 4,500 NCLEX exam-style questions, detailed rationales, test-taking tips and strategies, and new Next-Generation NCLEX (NGN)-style questions. An Evolve website simulates the exam-taking experience with a choice of practice questions along with realistic practice tests. Based on Silvestri's proven Pyramid to Success, this complete review is a perennial favorite of students preparing for the NCLEX. - More than 4,500 practice questions are included in the book and on Evolve. - Detailed rationales are provided for both correct and incorrect answer options. - Alternate item format questions include multiple response, prioritizing, fill-in-the-blank, figure/chart, and video clips. - Test-taking strategies provide useful hints for analyzing and uncovering correct answer options. - Pyramid Points and Pyramid Alerts identify content that typically appears on the NCLEX-PN exam - Pyramid to Success sections at the beginning of each unit provide an overview of content, guidance for your review, and the subject's relative importance in the NCLEX-PN text plan. - What Should You Do? boxes in each chapter help you develop critical thinking skills, with answers at the end of the chapter. - UNIQUE! A 75-question pre-test on Evolve provides feedback on your strengths and weaknesses, and the results generate an individualized study calendar. - NEW! Next-Generation NCLEX® (NGN)-style questions ensure that you are ready for the biggest change to the NCLEX-PN test plan in many years. - New! The current NCLEX-PN® test plan is incorporated throughout the book and the Evolve companion website.
cigna case management program:Saunders Comprehensive Review for the NCLEX-RN Examination, Third South Asian Edition-E-book Linda Anne Silvestri, Angela Silvestri, 2020-06-29 Often called the best NCLEX® exam review book ever, Saunders Comprehensive Review for the NCLEX-RN® Examination offers everything you need to prepare for the NCLEX® exam—complete content review, audio reviews and 3400 NCLEX® examination–style questions in the book and online. Written by the most trusted name in NCLEX® review, Linda Anne Silvestri, and adapted for South Asia by Annu Kaushik, Saunders Comprehensive Review for the NCLEX-RN® Examination, Third South Asia Edition is The book of choice for NCLEX® examination review. But don't just take our word for it—read any customer review or ask your classmates to see why there's nothing else like it! • NEW! Thoroughly updated content reflects the latest NCLEX-RN® test plan and incorporates clinical updates. • NEW! Clinical Judgment Situations test critical thinking skills and Next Generation NCLEX® item types assist in applying the skill of clinical judgment. • NEW! UPDATED! Bioterrorism content includes information on nuclear radiation. • Several NEW prioritizing questions test prioritizing skills. • NEW! Pharmacology classifications code with practice questions helps you to focus on specific medication classes. • NEW! Care of Special Populations chapter focuses on nursing care of special and vulnerable populations. • NEW! Complex Care chapter includes information on sepsis, shock, sedation, critical care nursing interventions, and more. • NEW! Health Problem code with every practice question helps you to focus your study on particular topics. • NEW! Anemia section added to the Oncological and Hematological Problems chapter. • NEW! Systematic case scenario helps you focus on applying health and physical assessment concepts. New to this edition • Orientation to various examination • New Quick review sheets o Nursing Management of COVID – 19 • Nursing Management of Specific Cases • Important Clinical conditions review
cigna case management program:Restoring Fiscal Sanity 2007 Alice M. Rivlin, Joseph R. Antos, 2007-11-01 Exceeding $2 trillion annually, health care spending in the United States is growing significantly faster than the national economy. If left unchecked, this health spending crisis will threaten Americans' ability to pay for other essential services. Driven primarily by the cost of benefits promised to seniors under Medicare and Medicaid, federal health expenditures will force lawmakers to make stark policy decisions. In this third volume of Restoring Fiscal Sanity, policy experts suggest ways to slow the growth of federal spending on health care. Unless federal health spending can be brought under control, Americans will face substantially higher taxes, sharp reductions in other government programs, and cuts in benefits to the elderly. Families, businesses, and communities will be forced to make agonizing choices between health care and other needs. Focusing on policies that do not shift costs to the states or the private sector, the authors of Restoring Fiscal Sanity 2007 suggest reforms in federal programs that have the potential to reduce the growth of spending for the entire health system, increase the efficiency and effectiveness of the care provided, and enhance health outcomes. Drawing on years of government and public policy experience, they stress the need for innovative approaches and cooperation between the private and public sectors.
cigna case management program:Saunders Comprehensive Review for the NCLEX-RN® Examination - E-Book Linda Anne Silvestri, Angela Silvestri, 2019-08-23 Get the tools and skills you need to prepare for the NCLEX®! Often called the 'the best NCLEX® exam review book ever,' Saunders Comprehensive Review for the NCLEX-RN® Examination, 8th Edition has been thoroughly updated to reflect the most recent test plan. This new edition includes 5,200 NCLEX examination-style questions in the book and online. A companion Evolve website includes thousands of questions that allow you to decide how you want to practice! Don't make the mistake of assuming the quality of the questions is the same in all NCLEX exam review books, because only Silvestri includes the kinds of questions that consistently test the clinical judgment skills necessary to pass today's NCLEX exam. Even better, all answers include detailed rationales to help you learn from your answer choices and test-taking strategies with tips on how to best approach each question. Written by the most trusted name in NCLEX review, this is THE book of choice for NCLEX preparation. But don't just take our word for it — read any customer review or ask your classmates to see why there's nothing else like it! - Over 5,200 practice questions in the text and online offer ample testing practice. - 75-question comprehensive exam covers all content areas in the book in the same percentages that they are covered on the actual NCLEX-RN test plan. - Inclusion of all alternate item format questions covers multiple response, prioritizing [ordered response], fill-in-the-blank, figure/illustration [hot spot], chart/exhibit, video, and audio questions to give students practice with mastering prioritizing, decision-making, and critical thinking skills. - Presents introductory chapters on preparation guidance for the NCLEX-RN, nonacademic preparation, test-taking strategies, the CAT format, and the NCLEX-RN from a new graduate's experience. - UNIQUE! Audio review summaries on pharmacology, fluids and electrolytes, and acid-base balance are found on the Evolve companion site. - Expanded coverage of delegation, prioritization, and triage/disaster management in the practice questions reflect the areas of increased emphasis on the NCLEX exam. - UNIQUE! A detailed test-taking strategy and rationale is included for each question, offering clues for analyzing and uncovering the correct answer option - UNIQUE! Priority concepts call-outs highlight specific concepts related to nursing practice. Concepts have been updated to reflect the latest Giddens: Concepts for Nursing Practice text. - UNIQUE! More Priority Nursing Action boxes communicate new and pertinent content. - Question categories by cognitive level, client needs area, integrated process, and content area give you completely customizable exams or study sessions when using the companion Evolve site. - UNIQUE! Pyramid Alert! boxes spotlight important nursing concepts and procedures, and include tips and shortcuts for remembering key information. - Mnemonics included where appropriate throughout the text.
cigna case management program:National Managed Care Firms , 1991
cigna case management program:Executive Guide to Managing Disputes Gary L. Kaplan, 2009-03 The Executive Guide to Managing Disputes not only explains why litigation is so costly, but also how to manage disputes sensibly to avoid unnecessary litigation, reduce costs, and improve results. The book shows how ADR (i.e., Alternative Dispute Resolution) can short-cut disputes, and how to use often inexpensive dispute management programs to contain costs and achieve favorable outcomes.
cigna case management program:Public Health Reports , 1994
cigna case management program:Official Gazette of the United States Patent and Trademark Office , 2003
cigna case management program:The New World of Health Promotion Bernard Healey, Robert S. Zimmerman, 2010 Health Behavior, Education, & Promotion
cigna case management program:Health Care Information Systems Karen A. Wager, Frances W. Lee, John P. Glaser, 2022-01-12 The most up-to-date edition of the gold standard in health care information system references In the newly revised Fifth Edition of Health Care Information Systems, veteran healthcare information management experts and educators Karen A. Wager and Frances Wickham Lee, along with nationally-recognized leader in health information technology, John P. Glaser, deliver a one-stop resource for graduate and upper-level undergraduate students to gain the knowledge and develop the skills they need to manage information and information systems technology in the new healthcare environment. The latest edition sees its focus shift from the adoption of health care information systems and electronic health records to making effective use of health care data, information, and systems and optimizing their impact. New additions to this celebrated text include: Explorations of how health care information systems and information technology can be used to support national quality initiatives, value-based payment, population health management, and precision health and quality reporting Discussions of how issues like interoperability, electronic health record usability, and health IT safety are being (or not being) addressed Treatments of the roles played by data governance and analytics in clinical decision making and healthcare operations. Filled with case studies, supplemental resources, and engaging examinations of critical areas in health care information system use, management, implementation, and support, Health Care Information Systems is an ideal reference for students taking courses in business administration, public health, health administration, medicine, health informatics and health care management.
cigna case management program:Health Care Policy Reform in America: Innovations from the States Howard M. Leichter, 2019-10-25 This work tracks the role of the states in US health care policy reform. It reviews the challenges faced by the states in dealing with rising costs and looks at their policy competence and role in managed care, whilst focusing on the outcomes of policy reform in states such as Hawaii and Oregon.
cigna case management program:Making Managed Healthcare Work Peter Boland, 1993 Making Managed Healthcare Work is your comprehensive guide to developing and implementing a new strategic approach to managed care that's practical, performance-based, and results-oriented. Learn how to prepare for, identify, pursue, negotiate and implement a new type of managed care arrangement that can accomplish the objective of delivering quality care at competitive prices.
cigna case management program:Aging Well Jean Galiana, William A. Haseltine, 2019-03-20 This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improving care coordination and access to care, delivering hospital-level and emergency care in the home and retirement community settings, merging health and social care, supporting people living with dementia and their caregivers, creating communities and employment opportunities that are accessible and welcoming to those of all ages and abilities, and combating the stigma of aging. The innovative programs of support and care in Aging Well serve as models of excellence that, when put into action, move health spending toward a sustainable path and greatly contribute to the well-being of older adults.
cigna case management program:Comprehensive Care Coordination for Chronically Ill Adults Cheryl Schraeder, Paul S. Shelton, 2011-10-11 Breakthroughs in medical science and technology, combined with shifts in lifestyle and demographics, have resulted in a rapid rise in the number of individuals living with one or more chronic illnesses. Comprehensive Care Coordination for Chronically Ill Adults presents thorough demographics on this growing sector, describes models for change, reviews current literature and examines various outcomes. Comprehensive Care Coordination for Chronically Ill Adults is divided into two parts. The first provides thorough discussion and background on theoretical concepts of care, including a complete profile of current demographics and chapters on current models of care, intervention components, evaluation methods, health information technology, financing, and educating an interdisciplinary team. The second part of the book uses multiple case studies from various settings to illustrate successful comprehensive care coordination in practice. Nurse, physician and social work leaders in community health, primary care, education and research, and health policy makers will find this book essential among resources to improve care for the chronically ill.
cigna case management program:Pathways to a Successful Accountable Care Organization Peter A. Gross, 2020-08-18 A valuable guide to starting and running a successful accountable care organization. Health care in America is undergoing great change. Soon, accountable care organizations—health care organizations that tie provider reimbursements to quality metrics and reductions in the cost of care—will be ubiquitous. But how do you set up an ACO? How does an ACO function? And what are the keys to creating a profitable ACO? Pathways to a Successful Accountable Care Organization will help guide you through the complicated process of establishing and running an ACO. Peter A. Gross, MD, who has firsthand experience as the chairman of a successful ACO, breaks down how he did it and describes the pitfalls he discovered along the way. In-depth essays by a group of expert authors touch on • the essential ingredients of a successful ACO • monitoring and submitting Group Practice Reporting Option quality measures • mastering your patients' responses to the Consumer Assessment of Health Plans Survey • how bundled payments and CPC+ can meld with your ACO • how MACRA and MIPS affect your ACO • the role of an ACO/CIN • the complexities of post-acute care • data analytics • engaging and integrating physician practices Dr. Gross and his colleagues are in a perfect position to guide other health care leaders through the ACO process while also providing excellent case studies for policy professionals who are interested in how their work influences health care delivery. Readers will come away with the necessary knowledge to thrive and be rewarded with cost savings. Contributors: Joshua Bennett, Allison Brennan, Glen Champlin, Kris Corwin, Guy D'Andrea, Joseph F. Damore, Mitchel Easton, Andy Edeburn, Seth Edwards, Jennifer Gasperini, Kris Gates, Shawn Griffin, Peter A. Gross, Brent Hardaway, Mark Hiller, Beth Ireton, Thomas Kloos, Jeremy Mathis, Miriam McKisic, Morey Menacker, Denise Patriaco, Elyse Pegler, John Pitsikoulis, Michael Schweitzer, Bryan F. Smith
cigna case management program:Medicare HMO Enrollment Growth and Payment Policies United States. Congress. House. Committee on Ways and Means. Subcommittee on Health, 1996
cigna case management program:Families and Work Karen I. Fredriksen-Goldsen, Andrew E. Scharlach, 2001 This book is intended for for use in upper level undergraduate and graduate courses in social work with the family, social work with the elderly and social work with children.
cigna case management program:Proceedings Group Health Institute, 1992
Cigna Healthcare | Health Insurance, Dental Plans & Medicare
Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, …
Get Access to Your Personal Health Information - myCigna
myCigna: Your Secure Member Portal | Cigna Healthcare
As a Cigna Healthcare member, you'll get access to myCigna: your secure member portal. On myCigna, you can find a doctor, understand your coverage, submit claims and more. Skip to …
Log in | Cigna - Cigna Health Benefits
Plan member log in. Access online services and plan information. Employer log in. Manage your contract online. Health Care Provider log in Find information and manage your profile.
Contact Us | Customer Service | Cigna Healthcare
Contact Cigna Healthcare Customer Service at 1 (800) 997-1654 or visit this page to find phone numbers for plan and coverage questions or a claims mailing address.
Member Guide - Cigna Healthcare
Cigna Healthcare is here for our customers. This is the place to manage your plan, find in-network doctors, manage prescriptions and spending accounts, access forms, submit a claim, and …
Plan members | Cigna
As a Cigna plan member, you can focus entirely on your health. We will take care of the rest. Our mission is to help you improve your health, wellbeing and peace of mind. Log in to your …
Login - Cigna Envoy
To log in, please enter the Cigna Healthcare ID number and the Password/PIN you created when you registered on the website. The Password/PIN is case sensitive where alpha characters …
The Cigna Group | A Global Health Company
Discover The Cigna Group, a global health company committed to improve the health and vitality of those we serve.
Health Care Providers | Cigna Healthcare
Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, …
Cigna Healthcare | Health Insurance, Dental Plans & Medicare
Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, …
Get Access to Your Personal Health Information - myCigna
myCigna: Your Secure Member Portal | Cigna Healthcare
As a Cigna Healthcare member, you'll get access to myCigna: your secure member portal. On myCigna, you can find a doctor, understand your coverage, submit claims and more. Skip to …
Log in | Cigna - Cigna Health Benefits
Plan member log in. Access online services and plan information. Employer log in. Manage your contract online. Health Care Provider log in Find information and manage your profile.
Contact Us | Customer Service | Cigna Healthcare
Contact Cigna Healthcare Customer Service at 1 (800) 997-1654 or visit this page to find phone numbers for plan and coverage questions or a claims mailing address.
Member Guide - Cigna Healthcare
Cigna Healthcare is here for our customers. This is the place to manage your plan, find in-network doctors, manage prescriptions and spending accounts, access forms, submit a claim, and …
Plan members | Cigna
As a Cigna plan member, you can focus entirely on your health. We will take care of the rest. Our mission is to help you improve your health, wellbeing and peace of mind. Log in to your …
Login - Cigna Envoy
To log in, please enter the Cigna Healthcare ID number and the Password/PIN you created when you registered on the website. The Password/PIN is case sensitive where alpha characters …
The Cigna Group | A Global Health Company
Discover The Cigna Group, a global health company committed to improve the health and vitality of those we serve.
Health Care Providers | Cigna Healthcare
Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, …
