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Care management for children with special needs: part I: the role of health plans.

Research paper by Tracy M TM Fitzgibbon, Jean J Popalisky, Kristin K Myers, John M JM Neff, Virginia L VL Sharp

Indexed on: 23 Jun '09Published on: 23 Jun '09Published in: The Journal of ambulatory care management



Abstract

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.