Centers for Medicare and Medicaid Services (CMS)
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Case Managers Can Ease Health Inequities and Barriers to Care
Health inequity and barriers can negatively affect patient care. Case managers can work with community organizations to untangle this societal problem.
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Better Communication Can Improve Home Health Education for Patients
The authors of a new study suggest that hospitals are not providing patients with enough education about home health services, leading to unrealistic expectations after they are discharged home.
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Case Managers Should Be Aware of Fraud and Abuse Laws
Hundreds of healthcare providers are investigated and fined or reach settlements with the federal government each year under federal fraud, abuse, and kickback statutes. Federal investigators have pursued hospital case managers, as well as physicians and other providers.
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Home-Based Palliative Care Program Keeps Patients Out of the Hospital
A North Carolina palliative care program employs doctors and other members of a healthcare team to help keep patients out of the hospital through in-home, quality care.
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Program Targeting Serious Illnesses Helps Reduce ED Visits, Hospital Readmissions
A healthcare provider’s case management-style program produced a 43% reduction in hospital visits and a 24% reduction in ED visits within an 18-month period, according to authors of a new study.
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AHA: Hold Off on Star Ratings Until CMS Can Fix Problems
Problems with the structure and execution of the Centers for Medicare & Medicaid Services star ratings are so serious that the agency should halt their use until repairs can be made, according to a letter sent by the American Hospital Association to the government agency.
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Hospitals Can Do More to Prevent Maternal Deaths
The Joint Commission published its new Proposed Standards for Perinatal Safety in April to provide evidence-based procedures that hospitals can use to identify and treat maternal hemorrhage and pre-eclampsia.
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Opioid Tapering Can Work With the Right Strategies
The program uses different approaches for patients who already are taking opioids vs. those who would receive their first opioids after surgery.
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Pain Service Balances Opioid Reduction With Pain Control
When surgery patients already are taking opioids for chronic pain issues, the new goal is to get them to reduce their daily opioid intake — and prevent their suffering.
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Transitional Pain Service Begins With Screening Process
As providers in all disciplines, including surgical settings, look for strategies to be part of the solution when it comes to opioid prescriptions, one Veterans Administration model provides a blueprint.