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July 2015 In This Issue
Special Announcement
Featured Events
Member Announcements
Featured Article
Articles and Links
Industry Events
CareerSmart Learning
Special Announcement
This year’s National Case Management Week is Oct. 11 – 17, and we want to let the world know about case managers – who we are, what we do, and why we are important.

Case Management Week has become embedded into the community as an annual, week-long celebration of this essential health care practice. CMSA has been instrumental in that process, bringing to light the important work of case managers in local communities and on the national level.

CMSA recently unveiled the logo and the theme of this week-long celebration of case managers, which will be used this year and in future years. View the logo and learn more about Case Management Week at the link!
Featured Events

Fri., August 28, 2015
11:00 a.m. CDT
Pending CEs: 1.2 Nursing, 1.0 CCMC

"Washington Update" will focus on current policy events that have been shaping the legislative landscape of the 114th Congress and beyond. After the 2014 elections, in which the Republicans gained a stronger hold in the House and took back the Senate, Senator Mitch McConnell (R-KY) and Speaker John Boehner (R-OH) have used their leadership positions in their respective chambers to push a conservative agenda on the Hill while tackling major health policy challenges.


Come to Capitol Hill with fellow CMSA members, CMSA’s Public Policy Committee and Board of Directors to play a direct role in the legislative process by meeting with your House and Senate representatives. In addition, you’ll be able to highlight the critical role that case managers play in health care delivery, explore how to utilize your local networks for grassroots legislative success and ensure that case managers are speaking for case managers.

Attendance for the 2015 Day on the Hill is open to all current CMSA members at no additional cost. If you are a CMSA member who is passionate about association issues and wants to make a difference by advocating with fellow health care professionals from across the country, you won’t want to miss this event! Registration is coming next week!

American Sentinel University
CCMC (Comm. For CM Cert.)
Nielsen Healthcare Group
Member Announcements

The Case Management Adherence Guide (CMAG) provides case managers of any background with the information and tools necessary to advance assistance, coaching, and monitoring efforts with the goal of ultimately improving patient outcomes and care delivery.

Disease-specific CMAG chapters provide case managers with more in-depth information on how to apply the CMAG principles to specific disease states and patient populations. Click below to download your copy.

On June 22, CEAgent and CMSA association management company, CMI, announced a partnership to provide the CEAgent app at no cost to CMSA members.
CEAgent provides health care professionals the ability to manage and track their licenses, certifications, clearances,  and continuing education in an easy to use mobile and web based application. CEAgent has alerts and reminders built in to notify users when vital documents are becoming due for renewal.

The first generation version of CEAgent is optimized for nurses but can be used by other health care professionals as well. The app is currently available for download in the Apple app store - download it today!

CMSA thanks all of the attendees who supported the Case Management Foundation at CMSA’s 25th Annual Conference in Orlando. A special thanks goes out to CMSA chapters that contributed to CMF during the event. Read more about CMSA chapter contributions at the link.
The Case Management Foundation supports case managers through educational scholarships, awards, and small grants. To learn more about CMF projects and programs or to donate, please visit  
Featured Article
Pat Stricker, RN, MEd, Senior Vice President,
TCS Healthcare Technologies

Last month’s article discussed value-based purchasing (VBP). The day after I wrote the article, I attended a seminar organized by the California Association of Health Plans entitled "Using Data to Improve Healthcare." It definitely reinforced the principles of VBP, and the need for and importance of data to prove its effectiveness.

Government and large purchasers want cost and quality data to drive affordability; clinicians want patient-specific data to improve treatments; and health plans and providers are working on integrating medical-record data to effectively manage care. The seminar focused on how these three efforts are dependent on data and how that data can be used to meet each of their goals.

Articles and Links

On July 1, 2015, CMS released proposed updates to the "Two-Midnight" rule regarding when inpatient admissions are appropriate for payment under Medicare Part A.  These changes would continue CMS’ long-standing emphasis on the importance of a physician’s medical judgment in meeting the needs of Medicare beneficiaries.  These updates were included in the calendar year (CY) 2016 Hospital Outpatient Prospective Payment System (OPPS) proposed rule. 

Source: Centers for Medicare & Medicaid Services (CMS)


Medicare is celebrating its 50th Anniversary! Do you know someone who has benefited from the Medicare Program? We have a great opportunity for them to share their stories and testimonials! Attached are two forms:

1. Share Your Medicare Experience - Where we ask for basic information from the beneficiary as well as their story/testimonial.

2. Release Form - To give us permission to share their story/testimonial on our websites or via social media.

Please share this information with your patrons and ask them to send their stories. Ask them to fill out the attached form and the information release, and send it to

Industry Events
Aug. 5th, 2015 at 12 p.m. EDT
Epstein Becker Green and EBG Advisors are pleased to announce this webinar, which will examine the evolution of utilization management (UM) programs over the past three decades, with a detailed overview of how this managed care function is regulated.  Among other issues, the webinar will highlight the impact of the Affordable Care Act and other regulatory reforms on the ways that health plans make "medical necessity" determinations and how the appeals process works when a "denial" of care occurs.
The webinar will be led by Garry Carneal, JD, MA, President & CEO of Schooner Strategies and Cheri Lattimer, RN, BSN, Executive Director of both the Case Management Society of America (CMSA) and the National Transitions of Care Coalition (NTOCC).  


The Academy of Oncology Nurse and Patient Navigators (AONN+) is holding their Sixth Annual Navigation and Survivorship Conference October 1-4 in Atlanta, Georgia. Register today!


CMSA Members: Save $300 on any of the events below when you use promo code CMSA300.

World Congress Patient Engagement Summit

Sept. 17-18, 2015 Boston, MA

Join us September 2015 as industry experts from hospitals, health systems, health insurance plans, and patient advocacy groups convene to share their experience, innovations, and best practices in patient engagement. Learn more and register at:

Patient Flow and Care Coordination Summit

Sept. 28-29, 2015 Boston, MA

The 14th Annual Patient Flow Summit gathers experts from hospitals, health systems, and health plans to tackle the challenges of admission efficiency, improving virtual capacity, and effective discharge planning while focusing on the patient safety. The summit will include discussions on innovative bed management technology, streamlined standard operating procedures, and case studies that examine the patient experience. Learn more and register at



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