CMSA Today - Issue 4, 2016 - (Page 29)

Professional Practice Keeping the "Professional" in Professional Case Management BY MARY BETH NEWMAN, MSN, RN-BC, CCM, CHCQM F undamental changes underway in healthcare are redefining how care coordination is implemented. Significant shifts in care delivery and reimbursement strategies, in practice models and professional accountabilities, in technology and communication, and in consumer demands and expectations present unprecedented opportunities for the professional care manager. However, there are also potential risks within evolving business models that may unintentionally serve to undermine the role and identity of the professional case manager. Issue 4 * 2016 CMSA TODAY 29

Table of Contents for the Digital Edition of CMSA Today - Issue 4, 2016

President’s Letter
Association News
CMSA Corporate Partners
Triple Aim Requires Case Management “Target” Practice
Finding the “Right” Care Management System: “Must Have” Requirements + Structured Demonstration Process
Understanding the Health Insurance Appeals Process for Case Managers
Keeping the “Professional” in Professional Case Management
Patients Get Better Care When Doctors, Hospitals and Insurers Share a Common Interest
Index of Advertisers

CMSA Today - Issue 4, 2016