Ageless - AUTUMN 2022
A publication for active seniors from Arkansas Blue Cross and Blue Shield
A publication for active seniors from Arkansas Blue Cross and Blue Shield
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Is case management<br />
available for you?<br />
Medicare Advantage<br />
PFFS<br />
Most of our members have case management<br />
available if needed. There is a good chance<br />
you qualify if you have:<br />
Medicare<br />
HMO<br />
Medicare<br />
PPO<br />
For Case Management programs and information, call 800-285-6682.<br />
A Passionate Advocate<br />
“She needed an advocate and<br />
guidance,” said Ashley Stormes,<br />
an Arkansas Blue Cross and<br />
Blue Shield social worker, about<br />
a recent member case that<br />
came to her attention. Sheila’s<br />
needs were brought to Stormes<br />
by Ann Furlow, a Registered<br />
Nurse case manager for Blue<br />
Cross and Blue Shield.<br />
“This patient came to my<br />
attention after calling customer<br />
service needing resources,”<br />
said Furlow. “Sheila had been<br />
case-managed in the past by<br />
one of my co-workers, so she<br />
was aware of the assistance<br />
the case management program<br />
could provide.”<br />
Sheila had been recently<br />
diagnosed with stage three<br />
rectal cancer and needed to<br />
receive six weeks of daily<br />
chemotherapy and radiation<br />
treatments at the University of<br />
Arkansas Medical Sciences’<br />
Winthrop P. Rockefeller Cancer<br />
Institute. The problem? Living<br />
two hours away from UAMS,<br />
Sheila could not drive or get<br />
transportation to Little<br />
Rock. She also dealt<br />
with multiple mental<br />
health issues that made<br />
making the necessary<br />
arrangements for the<br />
needed care impossible.<br />
This is where Arkansas<br />
Blue Cross stepped in.<br />
Stormes set on an<br />
extensive search for a<br />
place for the member to stay<br />
while going back and forth from<br />
UAMS for cancer treatments.<br />
One of the hurdles Stormes<br />
had to clear was keeping the<br />
temporary housing affordable.<br />
“After many calls and what<br />
felt like daily changes, I found<br />
an apartment complex called<br />
The Goodness Village of<br />
Little Rock,” said Stormes.<br />
“They offer very clean and<br />
assessable apartments for<br />
people and families going<br />
through medical struggles.<br />
It’s located close to UAMS.<br />
The cost is very, very minimal<br />
compared to other options.<br />
As a case manager, we<br />
can impact change and<br />
hopefully improve the<br />
outcome of the member’s<br />
healthcare experience.<br />
– Ashley Stormes<br />
Arkansas Blue Cross and Blue Shield social worker<br />
And, in this case, the rate was<br />
able to be covered by UAMS.”<br />
The story has a happy ending.<br />
Sheila got her chemotherapy<br />
and radiation treatments and,<br />
according to Stormes,<br />
is currently “stable.”<br />
“The most satisfying thing<br />
about being a case manager<br />
is meeting so many different<br />
members and their care<br />
teams,” said Furlow. “I love<br />
that as a case manager,<br />
along with my team of social<br />
workers, we can impact change<br />
and hopefully improve the<br />
outcome of the member’s<br />
healthcare experience.”<br />
<strong>Ageless</strong> <strong>AUTUMN</strong> <strong>2022</strong> 5