Care management for children with special needs: part I: the role of health plans.
This study documents screening methods and services provided by health plan case managers for high need children in a Washington State health plan. Enrollees were screened to identify 315 children who had or were at risk of developing a chronic condition and were high users of health services. From this group, 46 children/families could be contacted and needed case management. Services included assessment of physical/social needs, patient education, referral to community resources, and benefit utilization. These services were different from care coordination provided in primary care practices.
Fitzgibbon
Tracy M
TM
Regence Blue Shield of Washington, Burlington, Washington, USA.
Popalisky
Jean
J
Myers
Kristin
K
Neff
John M
JM
Sharp
Virginia L
VL
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D019988:Children with Disabilities; D006301:Health Services Needs and Demand; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007348:Insurance, Health; D008403:Mass Screening; D010346:Patient Care Management; D011795:Surveys and Questionnaires; D014861:Washington