Centers for Medicare and Medicaid Services (CMS)
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Nursing Shortage or Not? It Depends on Location
Although reports often emerge with predictions of a pending nursing shortage, some evidence also points to the opposite: plenty of new nursing graduates to meet the demand.
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American Hospital Association Sues CMS Over Final Rule Changes to OPPS Payments
The American Hospital Association has sued the U.S. Department of Health and Human Services to prevent changes to how Medicare reimburses care in hospital outpatient departments.
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Hospitals Take Social Determinants of Health Beyond Theory, Put Data to Use
The healthcare community is gradually accepting that social determinants of health can improve quality of care. Finding a way to apply the data can be difficult, but several hospitals and health systems are showing how it can be done.
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Training Program Helps Create Stable Case Management Workforce and Workflow
Training new case managers sometimes takes a team approach and can involve education, training, mentoring, and follow-up for six months to a year.
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Care Connectors Help Close Gaps With Medicaid Population
When gaps in care reports began popping up, leaders at Alcona Citizens for Health knew something had to be done. The deficiencies were due to inadequate staffing, inconsistent workflow, and knowledge deficits in using the electronic medical record.
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What Case Managers Can Expect From Medicare’s 2019 OPPS
The new Medicare 2019 Hospital Outpatient Prospective Payment System final rule focuses on patient-driven healthcare, acknowledging the importance of addressing social determinants of health.
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Efforts Underway to Reduce Medicare Spending, Meet Standards for Spending Per Beneficiary
With the healthcare industry’s increased focus on value-based purchasing, debate continues as to whether hospitals are meeting standards for total Medicare Spending Per Beneficiary.
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Age-Friendly Health Systems Initiative Improves Delivery, Quality of Care for Older Patients
With thousands of people across the United States reaching age 65 and older every day, hospitals and health systems are looking for ways to improve care for these patients and better suit their needs.
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Strategies for How Case Managers Can Truly ‘Hear’ Patients’ Stories
Case managers have the power to help their patients change their own narratives about their illnesses and injuries.
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Case Managers Can Help Patients Improve Health Outlook
Case managers can learn skills to help patients change their concerns about illness or injury through developing a functional life story that teaches optimism.