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After a program to reduce readmissions showed positive results but not a clear downward trend in readmissions, Capital District Physicians Health Plan (CDPHP) is trying another tactic.
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A program that provides at least one home visit for members who qualify for case management has helped Blue Cross Blue Shield of Arizona Advantage drop its all-cause readmission rate for all ages to 13%.
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You know that you are going to get dinged for any unplanned readmissions related to a patient's original hospitalization. You have probably felt the heat about that for some time and have worked on how to make sure no one bounces back unless it's part of the plan.
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To help members of its Medicare Advantage Plan stay healthy, healthcare professionals at WellPoint make individual outbound calls to members with clinical gaps in care to remind them of what preventive measures they need.
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In a concerted effort to improve patient care, payers and providers are collaborating to improve transitions of care and reduce readmissions.
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A new study, led by researchers at the University of Michigan (UM) in Ann Arbor, suggests that clinicians might not be spending enough time discussing some of the most complex patients when they are handing off these cases during shift changes.
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In an effort to drive down health care expenditures, a key target of state legislatures and healthcare policy makers in recent years has been frequent users of the ED. The thought is that many of these patients are using the ED for routine or non-urgent care when they really should be opting for less-expensive care settings.
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If youre not using technology in your case management practice, youre doing yourself, your organization, and your patients a disservice, experts say.
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Use technology carefully and keep personal connections.
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When you have patients who are joined at the hip with their smartphones or electronic tablets, it doesnt make any sense to use any other technology to engage them and communicate with them.