Alicare Medical Management and Blue Cross Blue Shield of Rhode Island Partner to Manage Utilization in Skilled Nursing Facilities

Alicare Medical Management and Blue Cross Blue Shield of Rhode Island have collaborated to provide a quality initiative to manage the length of stay in Rhode Island's skilled nursing facilities for members of the Medicare Advantage program.

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Through Alicare’s active review of patients, BCBSRI is able to better identify care coordination opportunities that result in optimal medical outcomes...

White Plains, NY & Providence, RI (PRWEB) November 09, 2012

Alicare Medical Management (AMM), one of the nation’s leading care management solution providers and Blue Cross Blue Shield of Rhode Island (BCBSRI) have collaborated to provide a quality initiative to manage the length of stay in Rhode Island’s skilled nursing facilities for members of the Medicare Advantage program. BCBSRI is the state’s leading health insurer and covers more than 600,000 members. The company is an independent licensee of the Blue Cross and Blue Shield Association.

“By coordinating care to meet patient needs appropriately, AMM is able to facilitate reduced stays in Rhode Island’s skilled nursing facilities while making certain that each patient receives the individualized treatment plan they need, whether it be facility based, outpatient or home care.” says Claire Levitt, AMM president.

Julie O’Brien, AMM’s COO states, “AMM implemented an electronic interface for the SNF’s to have online access for concurrent review for their population. This quality initiative has been rolled out to the SNF’s seamlessly with the collaboration of BCBSRI. We are very pleased with the process, progress and program thus far. We are looking forward to adding the commercial business in January.”

According to Dr. Gus Manocchia, BCBSRI’s chief medical officer, “Through Alicare’s active review of patients, BCBSRI is able to better identify care coordination opportunities that result in optimal medical outcomes, which complements our goals in providing members with access to high quality care.”

For more information about Alicare Medical Management’s services, visit http://www.alicaremed.com.

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About Alicare Medical Management (http://www.alicaremed.com)
Alicare Medical Management (AMM), a member of the Amalgamated Family of Companies, is a national leader in developing care management solutions that promote cost savings and patient satisfaction. AMM’s call center is open 24 hours a day, 365 days a year to provide maximum access and assure optimum program effectiveness. The company’s services include: 24-hour Nurse HelpLine, Utilization Management, Maternity Management, Case Management, Disease Management, Health Coaching and Wellness, Independent Physician Review, Medical Claims Review and Hospital Bill Auditing. AMM holds four URAC accreditations for Utilization Management, Case Management, Health Call Center and Independent Review. Follow us on LinkedIn for the latest news from AMM.

About Blue Cross & Blue Shield of Rhode Island (http://www.bcbsri.org)
Blue Cross & Blue Shield of Rhode Island is the state’s leading health insurer and covers more than 600,000 members. The company is an independent licensee of the Blue Cross and Blue Shield Association. For more information, visit BCBSRI.com and follow us on Twitter @BCBSRI.
The Blue Cross and Blue Shield Association is a national federation of 38 independent, community-based and locally-operated Blue Cross and Blue Shield companies that collectively provide healthcare coverage for 100 million members – one-in-three Americans. For more information on the Blue Cross and Blue Shield Association and its member companies, please visit bcbs.com. We encourage you to connect with us on Facebook, check out our videos on YouTube and follow us on Twitter for up-to-date information about BCBSA.


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