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Implementing the second generation social health maintenance organization

Article Abstract:

A geriatric-approach case study of the Health Plan of Nevada's Social HMO implementation through autumn 1999 found that the plan reflects current perspectives on how to integrate chronic care into a health maintenance organization (HMO). Accomplishments affirm that the provision of risk-adjusted reimbursement, along with the 5% supplement to the normal Medicare payment, are incentive enough to get a health plan to place a priority on serving potentially expensive groups, including the elderly.

Author: Newcomer, Robert, Harrington, Charlene, Kane, Robert
Publisher: Blackwell Publishers Ltd.
Publication Name: Journal of the American Geriatrics Society
Subject: Seniors
ISSN: 0002-8614
Year: 2000
Nevada, Management, Economic aspects, Medical care, Health insurance, Managed care plans (Medical care), Health maintenance organizations

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Guidelines abstracted from consensus recommendations for the management of chronic heart failure

Article Abstract:

Guidelines abstracted from consensus recommendations for management of chronic heart failure (CHF) caused by systolic dysfunction of the left ventricle are presented. Emphasis in this area has shifted from keeping the patient out of pulmonary edema and gone toward improving quantity/quality of life and preventing decline of cardiac contractility. A chart outlines treatment. CHF is mostly seen in older adults, but most clinical trials have focused on younger patients. More than 50% of older persons with CHF have preserved LV systolic function. In evidence-based CHF guidelines management of their condition is not discussed. Topics include definition, etiology, evaluation, prevention and approved/unapproved drugs

Publisher: Blackwell Publishers Ltd.
Publication Name: Journal of the American Geriatrics Society
Subject: Seniors
ISSN: 0002-8614
Year: 2000
Social aspects, Physiological aspects, Demographic aspects, Medical research, Congestive heart failure, Heart, Heart contraction, Geriatrics, Heart ventricle, Left, Left heart ventricle, Experimental design, Research design

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Preventing disability through community-based health coaching

Article Abstract:

Preventing disability via community-based health coaching is discussed in this article about a California Public Employees Re tirement System (CalPERS) Health Matters program operated as a randomized controlled trial of a community-based health coaching program in Sacramento, CA. The program started in January 2001. The program has a menu of disability-prevention strategies combined with health and fitness coaching and patient education on self-management of chronic illness. It focuses as much on linking participants to existing community, health plan, and self-directed programming as it does on things developed for the project. Participants have one or more qualifying chronic health conditions, are at least 65 years old, and are in a participating health plan.

Author: Newcomer, Robert, Holland, Stephen K., Greenberg, Jay, Tidwell, Lynette
Publisher: Blackwell Publishers Ltd.
Publication Name: Journal of the American Geriatrics Society
Subject: Seniors
ISSN: 0002-8614
Year: 2003
Research and Development in the Physical, Engineering, and Life Sciences, Science & research, Research and Testing Services, Management dynamics, Geriatric Research, Research, Usage, Reports, Prevention, Disability, Disabilities, Health education, California. Public Employees' Retirement System

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Subjects list: Health aspects, Aging, Care and treatment, Aged, Elderly, Statistical Data Included, Chronic diseases, United States, Practice
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