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Nutrition in Clinical Practice
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High Tech Home Care: Surviving and Prospering in a Changing Environment

Carolyn D. Viall, RN, MSN, CNSN

Ross Laboratories, Columbus, OH

Kathleen S. Crocker, RN, MSN

NMC Homecare, Waltham, MA

Kathryn A. Hennessy, RN, MS, CNSN

Caremark, International, Northbrook, IL

Marsha E. Orr, RN, MS, CNSN

Caremark, International, Tempe, AZ

Managed care plans are expanding rapidly into new marketplaces. Reimbursement for home infusion therapy, including parenteral and enteral nutrition, is significantly affected under managed care, especially when capitated payment mechanisms are used. Home care companies have experienced downsizing, mergers, acquisitions, and fierce competition in the managed care environment. Clinicians who are entering the home care setting may find that, in addition to clinical expertise, their marketability depends on a set of new skills and abilities in order to prosper in this new environment.

Nutrition in Clinical Practice, Vol. 10, No. 1, 32-36 (1995)
DOI: 10.1177/011542659501000132
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Home page
 Nutr Clin PractHome page
G. L. Klein, J. Z. Rogers, J. Friedmann, and G. L. Jensen
A Multidisciplinary Approach to Home Enteral Nutrition
Nutr Clin Pract, August 1, 1998; 13(4): 157 - 162.
[Abstract] [PDF]