tag:blogger.com,1999:blog-9181810725696409953.post7471633338429519612..comments2024-03-17T04:20:11.083-04:00Comments on The Population Health Blog: Why Managed Care "Gets It" When It Comes To the Value of Nurse-Led Care ManagementJaan Sidorovhttp://www.blogger.com/profile/05072456803925863874noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-9181810725696409953.post-37622507169902582782010-06-07T21:42:16.995-04:002010-06-07T21:42:16.995-04:00c# and the DMCB both. Maybe that's the next f...c# and the DMCB both. Maybe that's the next frontier for managed care sponsored care management: figuring out how to serve the patients AND make life easier for the physicians. More on that in a later post.....Jaan Sidorovhttps://www.blogger.com/profile/05072456803925863874noreply@blogger.comtag:blogger.com,1999:blog-9181810725696409953.post-77171195831628010742010-06-04T14:20:11.960-04:002010-06-04T14:20:11.960-04:00As a Medical Director in a health plan I couldn...As a Medical Director in a health plan I couldn't agree more. In fact, if docs were just a bit more open to working with these health plan case managers they could really leverage the resources the plan can bring to bear with a particular patient(i.e. knowledge of how many of the prescriptions were actually filled, making straight the pathways of prior auth for high tech specialties, working with the home health companies...)Phil 314https://www.blogger.com/profile/04133300763922742206noreply@blogger.comtag:blogger.com,1999:blog-9181810725696409953.post-62778274504104515922010-06-04T10:08:20.490-04:002010-06-04T10:08:20.490-04:00Devon makes a good point. CBO released a study ye...Devon makes a good point. CBO released a study years ago that was critical of the industry's claim of cost savings. <br /><br />However:<br /><br />1) there are non-published in-house studies that have convinced the plans that there's money to be saved. The managed care industry doesn't believe CBO has all the data.<br /><br />2) but I think that the plans are also less interested in cost offsets. They've been struggling with the issues for years and have basically thrown in the towel and agreed there's value in all those nurses somewhere.<br /><br />It's like the Cav's: sooner or later......Jaan Sidorovhttps://www.blogger.com/profile/05072456803925863874noreply@blogger.comtag:blogger.com,1999:blog-9181810725696409953.post-86414511213298706842010-06-04T01:42:40.742-04:002010-06-04T01:42:40.742-04:00Nurses are great, but RN-led disease management as...Nurses are great, but RN-led disease management as practiced today doesn't convince the CBO, among others, that there is a cost-offset. This suggests big managed care does not, in fact, "get it", when it comes to coordination of care. Maybe they are more like the U.S. Olympic basketball team.Devon Devine, JDhttps://www.blogger.com/profile/00568764339499629382noreply@blogger.com