Q: What role should case managers play in terms of encouraging patients to receive the novel coronavirus (COVID-19) vaccine? What are some steps to take in this process?
Hospitalized novel coronavirus (COVID-19) patients present unique challenges because their length of stay is often longer and more complex than the typical patient. Their course of illness can also be unpredictable, which makes planning difficult. When a patient is ready to leave the hospital, another set of challenges begins. Even a year into the pandemic, case managers still struggle to find postacute placements and anticipate and identify the needs of these patients.
Q: As of May 1, UnitedHealthcare, the largest health insurance company in the United States, will be switching from using Milliman Care Guidelines (MCG) to InterQual. How will this affect organizations, and what can they do to smooth the transition?
As of May 1, UnitedHealthcare, the largest health insurance company in the United States, will be switching from using Milliman Care Guidelines (MCG) toInterQual.
Ellen, a case manager, works more than 40 hours every week on-site at her hospital. This has been her schedule since the novel coronavirus (COVID-19) pandemic restrictions were put in place. She is a single mother and decides, despite the virus risk, to work as many hours as possible.
