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Health, Mental, And Social Health Issues

Decent Essays

NADAP is an agency that aims to assist individuals with their health and wellness goals, with a focus on medical, mental and social health issues. One of the programs at NADAP is Care Coordination, which has the primary purpose of aiding clients suffering from chronic medical conditions to effectively manage their diagnoses, such as, but not limited to, providing: assistance with medication and medical appointment adherence, access to all necessary health providers, ensuring basic social needs are met, and advocating on their behalf throughout their wellness journeys as needed. As such, it is the Care Coordinators’ reponsibility to ensure, to the best of their abilities, that the clients do not end up in the emergency room when it can, …show more content…

To think about this in reverse hierarchy fashion, from care coordinators to the Director, the closer the role is to the care coordinator, the more direct contact they will have with the clients.
While this systemic division of roles can be said to increase efficiency of the department, it is not without its faults. One of these liabilities entails the billing of Medicaid. Care coordinators are tasked with performing one “billable” service per client per month. This is an action care coordinators takes on behalf of clients that is then billed to Medicaid, allowing NADAP to sustain itself financially. Since care coordinators have large caseloads and therefore many billable services to achieve each month, clients are, at times, not receiving the care they need. Instead, the clients are often receiving the care that allows the care coordinators to check off the billable service box, not always considering the care only as it pertains to the client. Furthermore, since the care coordination program relies on Medicaid for financial support, it focuses attention to the billing of services as opposed to the services itself. Care coordinators’ performances are evaluated based on the successful completion of all the clients’ core services, and not on the success of their clients’ wellness goals per say. Consequently, the organization hires care

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