Insurer Trains Nurse Care Coordinators
The Horizon project courses will focus on:
- Case management of patients with complex health conditions
- Engagement and communication strategies with patients
- Using databases, including disease registries and Electronic Medical Records
- Coordinating care of "frequent flier" patients and discharged from care facilities
- Implementing and managing change in healthcare organizations
- Operations of a PCMH
- Role of care coordinators in improving patient care and patient experience in a PCMH
The announcements from WellPoint and Horizon should be welcomed by anyone who cares about healthcare reform and the move toward the patient-centered medical home. If the commercial plans aren't on board, it's not going to work.
The initiatives also show that payers clearly understand that ongoing political dog fights and the court challenges to "ObamaCare" are just static. The plans know that regardless of who gets elected president, or who controls Congress, or which way the U.S. Supreme Court rules, there is no going back to the old fee-for-service model. It is simply too wasteful, and too unaffordable.
The plans are planting a stake on the future of healthcare and they're betting that primary care physicians and nurses will lead the way.
John Commins is a senior editor with HealthLeaders Media.
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