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J Ambul Care Manage. 2009 Jul-Sep;32(3):197-204. doi: 10.1097/JAC.0b013e3181ac968e.

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

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Regence Blue Shield of Washington, Burlington, Washington, USA.


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.

[Indexed for MEDLINE]

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