HSM420 Case Management vs Disease Management

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HSM420 Case Management vs Disease Management
What are the key differences between conventional case management and disease management…

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HSM420 Case Management vs Disease Management

HSM420 Case Management vs Disease Management

Course Discussions Week 3 All Students Posts – 34 Pages

What are the key differences between conventional case management and disease management? Provide some examples of diseases that seem to benefit from a disease management model of care.  What is case management?  What is disease management?  How would case management differ in an urban patient with kidney issues and a rural patient with kidney issues?

What happens if the patient needs to deviate from the standard?  Will the services be covered?  Since the inception of the Affordable Care Act, have the standard services that are covered by insurance companies changed?  Has the Affordable Care Act changed the way that cases are serviced?  Has it changed the way that diseases are managed?  Which states or areas use this form of integrated health care services?  Although, payers cannot deny coverage to those with pre-existing conditions, are insurance companies allowed to charge more for pre-existing conditions?  Do most disease management plans become case management plans?  What do I mean by this?  Which is more costly, disease management or case management? What are the similarities of case management and disease management?

Case management targets high-risk patients–those who, because of diverse combinations of health, social and functional problems, are likely to need hospitalization. The cost for this type of patient is high and the goal is to coordinate cares to improve continuity and quality of care as well as lower the cost of treatment.  Case management is a collaborative process that assesses plans, implements, coordinates, monitors and evaluates the options to meet the needs of the patient.

Disease management targets patients who have one major diagnosis and who, because of their major diagnosis, have a relatively standard set of needs. It encompasses all settings of care and places emphasis on prevention and maintenance.  It is more focused on the set of diseases…