Reply to Medical case manager for older teen?

Forum Index » Elementary School-Aged Kids

Reply to "Medical case manager for older teen?"

Subject:

Emoticons





More smilies

Text Color: Font: Close Marks

[quote=Anonymous][quote=Anonymous]Thanks for the suggestions.  I had thought of and rejected the insurance company, sheepishly out of fear of drawing too much attention to how much in medical care she's cost them in the last two years.  But of course they already know and they could perhaps help--it is worth a shot.  I've thought that perhaps a concierge doctor would be good--I haven't had too much luck with getting a replacement for the pediatrician.  I'd rather have a doctor just straight up tell me their practice can't handle someone with so many issues then start seeing someone who later tells me he'll only deal with X and not Y and Z (current situation). [/quote]

I worked for a managed care Medicaid company and we had both nurse and social work case managers who assisted members who were chronically ill (high-cost and high-risk), communicating with them regularly and helping to manage their complex care (finding specialists, helping them get appointments, recommending certain paths like nutritionist for diabetics, etc, checking in with meds efficacy, helping access mental health services, and much more).  It was a win-win because it improved health outcomes for patients and ultimately kept costs down for the insurance company because with close and thorough case management the patients had less ER visits and medical crises.
There really was no downside, at least at our company, but our members were poor and vulnerable in general with many social issues that complicated their care, and our nurses and social workers were very caring and empathic - not sure if that is the case with other insurance companies that aren't serving the Meficaid population.
But it's worth a try.[/quote]

Options

	Disable HTML in this message
	Disable BB Code in this message
	Disable smilies in this message

Review message

Search Recent Topics Hottest Topics