Centers for Medicare and Medicaid Services (CMS)
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There Are Care Coordinators Everywhere, but Who Is in Charge?
New jobs with titles like care manager, care coordinator, navigator, patient progression nurse, and transition coordinator are popping up in various settings including hospitals, home health agencies, post-acute facilities, insurance companies, or community organizations.
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Case Management Roles Must Evolve to Meet Future Needs
As the healthcare system undergoes tremendous changes and payers shift to reimbursement based on quality, case managers need to develop skills that go beyond day-to-day care coordination and getting patients ready for discharge.
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Inside-the-box Strategy Helps With Medication Management
Optima Health recently began using a new technology that includes a pill box so sensitive to weight that it can determine precisely which pill, and how many, were pulled.
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Building Post-acute Relationships in ACOs Is a Complicated Journey
For accountable care organization arrangements to succeed, healthcare organizations need good working relationships and continual communication.
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Opioid Addiction in Medicaid Population Calls for New Case Management Strategies
In recent years, the opioid epidemic has created new challenges for healthcare organizations seeking to improve population health.
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Using Risk Analysis Model, Health System Cuts Readmissions
A risk stratification tool identifies members of a Medicaid population that need targeted case management interventions. The eventual goal is self-management, as well as reducing costs.
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Recent Hospital Kidnapping by Gunman Highlights Need for Active Shooter Plan
The wrong thing for an ambulatory surgery center team to think after reading about an active shooter incident is “it can’t happen here,” training specialists say.
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Patient Surveys Are About to Get a Lot More Complicated
The Centers for Medicare & Medicaid Services will require ambulatory surgery centers to conduct patient experience surveys through certified vendors, as of Jan. 1, 2018.
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Orientation and Delegation Are Key When Using Case Management Extenders
Hiring extenders can add much-needed clerical support to overworked case managers.
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Pilot Aims to Help Small Medical Practices Integrate Mental Healthcare
As part of its commitment to integrating behavioral care with medical care, Montefiore Health System has launched a pilot project to improve the ability of primary care physicians in small practices to treat anxiety, depression, and other common behavioral health problems.