Prompt:
Case management is an active element of managed care and disease management programs. Proven effective as a way to improve outcomes, reduce costs, and maintain the quality of care for patients requiring chronic and critical care, case management is applied across the continuum of care settings. Case managers do not make diagnoses; They are patient advocates and educators, coordinating the care from practice setting to practice setting (from hospital, to rehab, to home care, for example) to obtain the most appropriate care for the benefit dollar.
Instructions:
For your assignment this week, I want you to find a current news article (published within the past 5 years) about case management as it relates to chronic disease and disability. The article can be either for or against case management or even a patient’s story where case management was used. You will provide a brief summary of the role of the case manger/how case management was utilized in this particular case, and identify if managed care or standards of care were included in the situation. After your summation, answer the following questions:
After completing Module 1 through 4 and having a good understanding of all that goes into the management of chronic conditions, do you think case managers should be able to negotiate for different services for their patients? Why or why not? If so, should it only be for a certain population of patients or patients with certain insurance or no insurance? Would it make a difference in your particular health profession (or aspiring profession) if they could? How so or why not? Provide examples.
Your submission should be constructed using a Word document and uploaded to this link by 11:59 EST on Sunday of Module 5. Your combined total word count for the assignment should be no less than 1200 words. Please be sure to include either a copy of the article you chose or the web link so it can be accessed. Make sure you review the grading rubric prior to submitting your assignment to ensure your submission meets the requirements for full credit.
