Aetna’s Innovative Health Information Technology Enables Life-Saving Solutions
Featuring: Dr. Henry Wei, Senior Medical Director
| Aetna: Preventing Dangerous Drug Interactions Neither David nor his doctors were aware that his migraine medication and his prescription for coronary disease could have a life-threatening interaction. The CareEngine identified the problem, and Aetna immediately notified David and his doctors so they could find a safe alternative.
Aetna: Supporting the Practice of Evidence-Based Medicine The CareEngine makes doctors aware of the latest scientific evidence to support effective patient care.
Aetna: Identifying and Addressing Serious Health Risks When the CareEngine notified a patient and his doctor that he was at risk for a burst artery, he received care in time to prevent it from happening. CareEngine can reduce costs by improving health outcomes. A study of 40,000 patients found that the CareEngine reduced hospitalizations by 8 percent and lowered overall health care costs. |
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| Amerigroup: Coordinated Case Management Amerigroup works with the State of Tennessee and community partners to coordinate long-term care services for elderly and disabled Medicaid members in their own homes. Larry was first in Tennessee to return home under this program. |
| Amerigroup: Dedicated Doctors and Nurses One in eight babies in the U.S. is born too soon, a leading contributor to the nation's high infant mortality rate.To address the problem, Amerigroup created the "Taking Care of Baby and Me®" program for prenatal and postpartum care. |
| BCBS Massachusetts: The Alternative Quality Contract Blue Cross Blue Shield of Massachusetts has developed a new approach to paying for health care, The Alternative Quality Contract, which is intended to improve the quality of care that patients receive and slow the rise in health car costs. Doctors and hospitals are rewarded for keeping patients healthy and for effectively managing chronic illnesses. |
| Cigna: A Cigna Member with Diabetes Tells How the Health Plan's Wellness Program Turned Her Life Around
Cigna: A Cigna Member Tells How the Health Plan Helped Her Following a Car Accident
Working closely with patients, their families, and other health professionals, Cigna's case managers help patients access the medical, behavioral, health, and social services they need. They also educate patients about their health conditions and provide coaching to help them reach personal health goals. |
Cigna’s Health Coaching and Employee Assistance Programs Help People Live Better Lives
Featuring: Dr. Doug Nemecek, Senior Medical Director
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EmblemHealth’s Case Management Program Provides a Safety Net for Medicaid Beneficiaries
Featuring: Dr. Andrew Kolbasovsky, Director of Provider Group Clinical Management
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EmblemHealth Nurse Case Managers Provide a Personal Touch To Put Patients on a Path Toward Better Health
Featuring: Anne Travisano, Senior Director, Medical Management
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Excellus Blue Cross Blue Shield Works with Patients and Doctors to Keep Medication Regimens Safe and Affordable
Featuring: Dr. Mona Chitre, Director of Pharmacy
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| Group Health Cooperative: Living Well with Chronic Conditions Through Group Health's Living Well with Chronic Conditions program, patients with chronic conditions participate in six-week group workshops in person or online to gain support and learn how to manage their conditions effectively. |
| Group Health Cooperative: The Medical Home Members of Group Health Cooperative receive primary care through the Medical Home initiative. Physicians lead teams of nurses, clinical pharmacists, physician assistants, and case managers to address all of patients' preventive, acute, and chronic care needs. |
HealthPartners Gives Patients and Doctors Many Tools To Improve Diabetes Care
Featuring: Dr. Pat Courneya, Medical Director
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| Humana: Humana Cares The Humana Cares program goes beyond traditional disease management. Humana Cares staff provide extensive, one-on-one support, both in person and by phone, to improve the health status and quality of life for patients with complex and chronic conditions. |
Independence Blue Cross’s Medical Home Program is Revitalizing Primary Care
Featuring: Pamela Eckardt, Director of Clinical Care Transformation
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Kaiser Permanente Provides Tools to Support Healthy Lifestyle Change
Featuring: Dr. Jed Weissberg, Senior Vice President for Hospitals, Quality, and Care Delivery
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| Molina: Shots for Shorties and Check Up or Check Out Molina's Shots for Shorties program provides outreach and incentives to improve immunization rates among African American children in Detroit. From the time of the program's launch in 2004 to 2010, the percent of children under age 2 who received recommended immunizations rose from 38.3 percent to 70.2 percent.
In 2006, Molina Healthcare partnered with the Michigan Department of Community Health to create the Check Up or Check Out program to encourage African American men to have annual preventive care visits. From 2006-2010, rates of cholesterol and blood glucose testing, as well as colorectal and prostate cancer screening, more than tripled. |
| SCAN Health Plan: A Better Way to Care SCAN Health Plan serves more than 130,000 seniors and the physically disabled in California and Arizona. Nurses and social workers arrange for all of the medical, social, and behavioral health services that beneficiaries in SCAN's Special Needs Plans (SNPs) need to live safely in their own homes. |
| Sentara/Optima Health: The Wellness Payoff In 2008, Sentara Healthcare implemented an incentive-based health and wellness program for employees. Over the past two years, health indicators for participating employees have improved significantly, and the program has achieved a net savings of $3.4 million. |