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Continuous case management of a German statutory health insurance.

Hecke TL, Erzberger M - Health Care Financ Rev (2005)

Bottom Line: They inform patients about treatment and rehabilitation options, about health care providers, and about other TK services.In a key feature, the model coordinates care across different health care sectors.Through the CCM approach, TK not only assures the best possible care for its insurees, but also safeguards its long-term financial sustainability.

View Article: PubMed Central - PubMed

Affiliation: Techniker Krankenkasse, Hamburg, Germany. dr.torsten.hecke@tk-online.de

ABSTRACT
To support insured patients, especially those with chronic illnesses or disabilities, the German statutory health insurance Techniker Krankenkasse (TK) offers continuous case management (CCM) under a rehabilitation advisory program serving more than 150,000 insurees each year Rehabilitation advisors provide individual counseling, generally by telephone. They inform patients about treatment and rehabilitation options, about health care providers, and about other TK services. In a key feature, the model coordinates care across different health care sectors. Through the CCM approach, TK not only assures the best possible care for its insurees, but also safeguards its long-term financial sustainability.

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Germany's Techniker Krankenkasse (TK) Patient Pathways Without Continuous Case Management, by TK Rehabilitation Advisors: 2004
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f1-hcfr-27-1-059: Germany's Techniker Krankenkasse (TK) Patient Pathways Without Continuous Case Management, by TK Rehabilitation Advisors: 2004

Mentions: The rehabilitation advisor continues to work with the patient after he leaves the rehabilitation center. He assists in organizing the patient's ambulatory care and home nursing care. In addition, he helps with organizational matters; he forwards a request form for rehabilitation or medical devices, provides lists of appropriate specialists, and reminds the patient of his regular medical examinations. He helps the patient arrange for physical and/or occupational therapy. In short, the rehabilitation advisor does everything he can to optimize the links among various health care-sectors. After the patient's discharge, for example, TK will provide on request a PDUR listing all the drugs prescribed in recent months by the patient's different physicians. This enables the patient to contact his physician to adjust the individual medication and other regimes to his present situation and needs. Figures 1 and 2 show the patients' pathways with and without continuous case management by TK rehabilitation advisors.


Continuous case management of a German statutory health insurance.

Hecke TL, Erzberger M - Health Care Financ Rev (2005)

Germany's Techniker Krankenkasse (TK) Patient Pathways Without Continuous Case Management, by TK Rehabilitation Advisors: 2004
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4194902&req=5

f1-hcfr-27-1-059: Germany's Techniker Krankenkasse (TK) Patient Pathways Without Continuous Case Management, by TK Rehabilitation Advisors: 2004
Mentions: The rehabilitation advisor continues to work with the patient after he leaves the rehabilitation center. He assists in organizing the patient's ambulatory care and home nursing care. In addition, he helps with organizational matters; he forwards a request form for rehabilitation or medical devices, provides lists of appropriate specialists, and reminds the patient of his regular medical examinations. He helps the patient arrange for physical and/or occupational therapy. In short, the rehabilitation advisor does everything he can to optimize the links among various health care-sectors. After the patient's discharge, for example, TK will provide on request a PDUR listing all the drugs prescribed in recent months by the patient's different physicians. This enables the patient to contact his physician to adjust the individual medication and other regimes to his present situation and needs. Figures 1 and 2 show the patients' pathways with and without continuous case management by TK rehabilitation advisors.

Bottom Line: They inform patients about treatment and rehabilitation options, about health care providers, and about other TK services.In a key feature, the model coordinates care across different health care sectors.Through the CCM approach, TK not only assures the best possible care for its insurees, but also safeguards its long-term financial sustainability.

View Article: PubMed Central - PubMed

Affiliation: Techniker Krankenkasse, Hamburg, Germany. dr.torsten.hecke@tk-online.de

ABSTRACT
To support insured patients, especially those with chronic illnesses or disabilities, the German statutory health insurance Techniker Krankenkasse (TK) offers continuous case management (CCM) under a rehabilitation advisory program serving more than 150,000 insurees each year Rehabilitation advisors provide individual counseling, generally by telephone. They inform patients about treatment and rehabilitation options, about health care providers, and about other TK services. In a key feature, the model coordinates care across different health care sectors. Through the CCM approach, TK not only assures the best possible care for its insurees, but also safeguards its long-term financial sustainability.

Show MeSH
Related in: MedlinePlus