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Innovations
Case Managers Remotely Monitor Chronically Ill Medicare Beneficiaries Each Day, Reducing Mortality and Costs 4/9/2014
Case managers remotely monitor Medicare beneficiaries with chronic conditions via a messaging device that asks and records answers to disease-specific and general health questions each day, leading to lower mortality and costs.
Donated Care Program Enhances Access to Ongoing Care for Uninsured Patients, Resulting in Significant Reductions in ED Visits, Hospitalizations, and Costs 4/9/2014
CarePartners, a donated care program, matches uninsured Maine residents with primary care physicians who are willing to care for up to 10 patients for free. Case managers help enrollees obtain needed services, including hospital care, specialist services, and free or low-cost drugs through prescription assistance programs.
Policy Health Department Promotes Implementation and Use of Electronic Health Records in Underserved Areas To Improve Clinical Preventive Services in Primary Care 4/9/2014
The health department in New York City uses subsidies, upfront and ongoing technical support, and quality of care feedback to promote implementation and use of electronic health records by primary care practices in medically underserved areas, leading to better care for patients in these practices.
Health Plan and Psychiatric Hospitals Reduce Readmissions by Reviewing Data and Developing Strategies to Improve Postdischarge Care 4/9/2014
A partnership between a health plan and psychiatric hospitals focuses on sharing of quarterly data, case reviews, and deployment of specific strategies to improve postdischarge care, leading to significant reductions in readmissions, inpatient days, and costs.
Hospital-Based Program Protects Newborns by Providing Pertussis Vaccinations to Medically Underserved Hispanic Mothers and Caregivers 4/9/2014
Hospital-based program increases use of pertussis vaccinations for mothers who have just given birth and others who will be in regular contact with the infant at home (and who therefore represent a potential source of infection to the infant).
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QualityTools
Risk Management and Quality in Home- and Community-Based Services (HCBS): Individual Risk Planning and Prevention, System-wide Quality Improvement 4/9/2014
This report explores the topic of effective individual risk management in community-based services among States engaged in risk planning for Medicaid home- and community-based services (HCBS) waiver participants.
Medicare Plan Finder 2/26/2014
This database enables users to view and print a personalized chart comparing Medicare health plans in their area and provides information about the various types of Medicare plans.
Maximizing Health Care for Colorado’s Underserved 2/12/2014
This operational handbook for safety-net medical homes describes the experience of Doctors Care, a community-funded, nonprofit organization that helps underserved children, adults, and families receive the medical attention they need.
Predictive Modeling: A Guide for State Medicaid Purchasers 1/29/2014
This guide for care managers and State Medicaid agencies provides information on how to use predictive modeling tools to identify patients who are good candidates for care management.
Monitoring and Evaluating Medicaid Fee-for-Service Care Management Programs: A User's Guide 1/15/2014
Monitoring and Evaluating Medicaid Fee-for-Service Care Management Programs: A User's Guide is designed to aid policymakers in understanding the policy issues, research evidence, and methodology related to evaluating the costs, quality, and impact of care management programs.

Last updated: April 09, 2014.