This message contains images. If you don't see images, click here to view.
Advertise in briefCASE.

Text version   RSS   Unsubscribe   Archive   Media Kit      September 17, 2014

Home  |  About ACMA  |  Events  |  Chapters  |  Careers  |  Resources  |  Certification  |  Join  |  Members Only  |  Contact Us

Case Management Jobs

Manager Case Management, Social Work, Utilization Review
Memorial Healthcare
Owosso, Michigan
More Information...

Case Management Director
Tampa General Hospital
Tampa, Florida
More Information...

RN Case Manager FT (1 Day/ 1 Night)
Mountain Vista Medical Center
Mesa, Arizona
More Information...

To access complete Career Link listings click here.

Congressman Kevin Brady questions CMS proposal to address short-stay appeal backlog
AHA News Now
Rep. Kevin Brady, chairman of the House Ways and Means Subcommittee on Health, expressed "serious concerns" with the way the Centers for Medicare and Medicaid Services has chosen to address a backlog of Medicare short-stay appeals at the administrative law judge level. The Department of Health and Human Services' Office of Medicare Hearings and Appeals imposed a moratorium on ALJ appeals in December.

To view the letter, click here.
   Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article



CMS urges hospitals to settle claims appeals for 68 cents on the dollar
The Daily Briefing
CMS says at least four providers have submitted paperwork to participate in Medicare's settlement offer on appeals for short-term inpatient claims, and the agency is urging more to opt in. The agency offered the settlement in August in an effort to address its massive backlog of claims appeals. A 2013 CMS memo from Chief Administrative Law Judge Nancy Griswold stated that from 2010 to 2013 CMS's claims caseload increased by 184 percent, but that no additional resources were dedicated to appeals.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article


Health system uses analytics to ID patients at risk of readmission
Health IT News
Carolinas Healthcare System used predictive analytics to reduce readmission rates for patients with chronic obstructive pulmonary disease from 21 to 14 percent over two years. Chief Information Officer Jean Wright said the key was identifying at-risk patients before discharge so case managers had time to intervene.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article

  Join Excellence and Innovation

• Are you a Case Manager looking for opportunities to develop your career?
• Are you a Case management leader committed to helping change the future of healthcare?
You belong here!

Begin the journey of a lifetime with a Pioneer ACO who is participating in the Bundled Payments initiative.

2014 ACMA Leadership Conference: Featured session
Online registration is now available for the 2014 ACMA Leadership Conference in Orlando, Florida. This event will be held at the Orlando World Center Marriott, Nov. 19-20. For more information, the event brochure and online registration, visit

Featured Session: A Map for a Changing Landscape: Case Management's Three Year Strategic Plan

Joan Moss, RN, MSN
Senior Vice President and Chief Nursing Officer
Sg2 Center for Performance Strategy
Skokie, Illinois
Learn more

About the Conference
The ACMA Leadership Conference is a two-day event designed specifically for healthcare delivery system case management and transitions of care professionals in leadership positions. The theme of this year's conference is, "2015 and Beyond: Case Management's Three-Year Plan." A faculty comprised of practice leaders and healthcare experts will present sessions on the strategies and plans case management leaders should develop and employ in order to efficiently deliver effective care and position themselves, their department and their organization for success in this changing healthcare system.

Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article

2014 ACMA Medical Director Forum: Featured session
Register now for the 2014 ACMA Medical Director Forum in Orlando, Florida. Held Nov. 22 at the Orlando World Center Marriott, this full-day event is focused on timely topics impacting the unique role of physicians in the case management model.

Featured Session:
High Reliability, Care Quality and Utilization

M. Michael Shabot, MD, FACS, FCCM, FACMI
System Chief Medical Officer
Office of the President
Memorial Hermann Health System
Houston, Texas
Learn more

For more information, the event brochure, and online registration, visit

Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article

  We Are The Evidence

MCG became part of Hearst Corporation in 2012 and continues to produce evidence-based clinical guidance as part of the Hearst Health network. We remain committed to our heritage as a leading provider of evidence-based care guidance with an ongoing commitment to help clients drive quality care while controlling costs.

Recognize those who make a difference
The ACMA Fundraising Committee's In Memory/Honor fundraising initiative has returned for 2014. Coinciding with National Case Management Week, this program provides case management professionals an opportunity to donate a gift in honor of, or in memory of, an individual, department, chapter or organization. This is a great opportunity to honor or remember those who have not only impacted you personally in your career in health care, but those who daily make a difference in the lives of patients and all of those they touch.

By recognizing an individual or group, their name will be listed: in ACMA's Collaborative Case Management journal, in ACMA's briefCASE e-newsletter and an email announcement during National Case Management Week and on the ACMA website.

Donations and dedications will be accepted through Oct. 12.

All proceeds support ACMA's fundraising efforts, and as ACMA is a 501(c)3 non-profit organization, your donation is tax deductible.

Click here to purchase your listing in honor/memory of.

Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article

A leader in clinical consulting
McBee Associates, Inc. delivers case management, medical necessity review, and appeals services to hospitals across the country. Call 800.767.6203 for case management shift coverage. MORE

Our unique blend of expertise and experience makes PhoenixMed the premier choice as your hospital case management partner offering solutions for contemporary case management redesign and education.

Advocating for case management
ACMA will return to Washington, D.C., Sept. 30 - Oct. 2 for its annual Advocacy on Capitol Hill event. ACMA members will meet with key lawmakers to advocate on behalf of case management and discuss the issues impacting our practice and adversely affecting patient care.

ACMA is working to ensure case management has a seat at the table when decisions are being made and legislation and regulations are developed that will impact your daily practice. But in order to continue to make a difference and ensure your voice is heard, we need your assistance. Be an advocate and donate today.

Your donation will support will help send case management professionals to Capitol Hill to represent case management's interests and ACMA's legislative priorities. Note: ACMA is a 501(c)3 non-profit organization, your donation is tax deductible.

Click here to support case management advocacy.

Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article



HHS announces $60 million to help consumers navigate healthcare coverage
U.S. Department of Health and Human Services
The Affordable Care Act is working for millions of Americans who are able to access quality health coverage at a price they can afford, in large part because of the efforts of in-person assisters in local communities across the nation. People shopping for and enrolling in coverage through the Health Insurance Marketplace can get local help in a number of ways, including through Navigators. Health and Human Services Secretary Sylvia M. Burwell recently announced $60 million in Navigator grant awards to 90 organizations in states with federally-facilitated and state partnership Marketplaces.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article

New care models consider social aspects of health
Managed Care
Some new healthcare models include strategies to address social aspects of poor health, such as food, housing and transportation, and help patients navigate the healthcare system or follow a treatment plan. EmblemHealth is one organization doing so, identifying probable high-cost patients for targeted interventions. The approach has reduced emergency department visits and readmissions.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article


Date Event Location More Info
Sept. 18 Missouri-Kansas Chapter Conference Kansas City, Mo. Details
Sept. 29 North Carolina Chapter Conference Winston-Salem, N.C. Details
Sept. 27 Maryland Chapter Conference Baltimore Details
Oct. 3 Great Lakes Chapter Conference Novi, Mich. Details
Oct. 4 Western Pennsylvania Chapter Conference Pittsburgh Details
Oct. 11 Virginia Chapter Conference Richmond, Va. Details
Oct. 14 Wisconsin Chapter Conference Waukesha, Wis. Details
Oct. 25 Connecticut Chapter Conference Uncasville, Conn. Details
Oct. 28 Illinois Chapter Conference Rosemont, Ill. Details
Nov. 19-22 Leadership Conference and Medical Director Forum Orlando, Fla. Details

  For the full ACMA event map, click here.



Tyler Neese, ACMA Director of Communications and Public Policy, 501.907.2262
Download media kit

Colby Horton, Vice President of Publishing, 469.420.2601

Ryan Clark, Content Editor, 202.684.7160  
Contribute news

Be sure to add us to your address book or safe sender list so our emails get to your inbox. Learn how.

This edition of the briefCASE was sent to ##Email##. To unsubscribe, click here. Did someone forward this edition to you? Join ACMA now to receive briefCASE weekly!

Recent issues

Sept. 10, 2014
Sept. 3, 2014
Aug. 27, 2014

7701 Las Colinas Ridge, Ste. 800, Irving, TX 75063