Medicare coordinated care
All programs had to apply the CMS demonstration-wide eligibility criteria for participating beneficiaries who were enrolled in Medicare Parts A and B, had Medicare as primary payer, and not enrolled…
Collaborative care treatment of late-life depression: development of a depression support service
Resources A collection of resources, often referred to as the depression “toolkit,” was assembled for use in the HRC Depression Support Service. Depression screening During the initial rollout of the…
Coordination of care by guided care interdisciplinary teams
Guided Care, however, was designed to enhance primary care by infusing the operative principles of all seven chronic care innovations outlined in Table 10.1. Thus, Guided Care seeks to make…
Predictive Risk Intelligence System (PRISM): A decision-support tool for coordinating care for complex Medicaid clients
The population screen shows each client’s name, risk score, gender, and counts of key events including: (1) Episodes – key risk areas, (2) Claims – total claims, (3) Office –…
Interdisciplinary care of chronically ill adults: communities of care for people living with congestive heart failure in the rural setting
–> Background On most surveys of general health status, residents of Mississippi rank at or very near the bottom (United Health Foundation 2009; The Commonwealth Fund 2009). In NMMCI’s service…
Health information technology
Outline care plan, including interventions and recommendations. Allow electronic access by CC, PCP, and/or other specialists. Provide printable format for care conferences and appointments. Patient Summary Sheet Provide printable format…
Care management plus
One of the primary discoveries we made was that clinics already had many of these functions, and that IT use could be successfully enhanced through addition of a small set…
The Aetna Integrated Care Management model: a managed Medicaid paradigm
Targeting the right population with the right services The ICM model is designed to provide specialized care management services to two larger groups of individuals that fall into complementary subdivisions…
The experiences in the Republic of Korea
Population (millions) 48.6 Aged 65 and older (percent) 10.3 Life expectancy at birth (years) Female 83.3 Male 76.5 Infant mortality rate (per 1,000 live births), 2006 4.1 Total fertility rate…
Integrated Patient-Centered Care: the I-PiCC pilot
Areas of focus The target population of the I-PiCC pilot was high-risk, high-cost elderly individuals living in the community with multiple co-morbid conditions who would benefit from greater PCP integration…
