Centers for Medicare and Medicaid Services (CMS)
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Biden Signs Inflation Reduction Act
Administration, industry tout healthcare provisions included in the sweeping legislative package.
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Analysis Reveals More About Claims Denials Tied to ACA Marketplace Plans
Meanwhile, evidence mounts indicating access to proper insurance coverage leads to better cancer outcomes.
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Collaborations Between Healthcare, Schools, and Community Organizations Can Help Families
Healthcare organizations can help improve community health by promoting the mental and physical health of children. Partnerships with schools and community-based organizations can help. -
FQHC Program Created Innovative Partnership with Other Organizations
Just as it takes a village to raise a child, it takes a village to care for an elder. With this philosophy in mind, a community health center in California has partnered with various local organizations to better serve its growing elderly patient population.
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Case Managers Can Help Non-Cardiac Chest Pain Patients in the ED
The results of a pilot study show case management can help patients with non-cardiac chest pain by addressing their biopsychosocial factors and providing follow-up care management. -
Tactics to Improve Utilization Management
The CMS waiver of Conditions of Participation for utilization management may end when the COVID-19 emergency ends. Hospitals that did not have to hold review meetings might have to return to those practices. -
Ways to Build and Improve a Case Management Department
At some point, a hospital needs to build or improve a case management department. Whether working from the ground up, completely overhauling a program, or simply making slight adjustments, good leadership and strategy is key to a thriving case management program. -
How One Health System Monitors COVID-19 Patients at Home
One large health system successfully employed a hospital at home program during the COVID-19 pandemic using remote technology and a multidisciplinary team. By the end of 2021, the program had built a strong central team to support 13 medical centers across California. -
Hospital at Home Programs Can Help Acute Patients Post-Pandemic
The concept of hospital at home may have flourished during the COVID-19 pandemic, but it also will be a possible post-pandemic model for care. -
Home Monitoring Program Helped Hospitals Weather COVID-19 Surges
Early in the COVID-19 pandemic, it was clear patients would flood hospitals in large cities, overwhelming health systems and public health infrastructure. One health system quickly ramped up its home monitoring program to safely keep some patients out of the hospital.