Centers for Medicare and Medicaid Services (CMS)
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New Payer-provider Five-year Contract Pushes the Envelope on Care Coordination
Independence Blue Cross and the University of Pennsylvania Health System signed a five-year contract, effective July 1, 2017, to share accountability for quality and cost.
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Case Management Model Act Defines Case Management at the Federal Level
The Case Management Society of America recently sent letters to U.S. representatives and senators, asking for their consideration of The Case Management Model Act.
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Case Managers Will Promote Their Profession on Capitol Hill
Case managers and others will head to Capitol Hill to meet with lawmakers in September to explain how case management adds value to the healthcare delivery system.
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Complacency: The Business Killer
Settling for what you have in the past is going to kill many hospitals and surgery centers who cannot see the future and respond accordingly. Complacency is the worst place you can be tomorrow.
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Develop an Outcomes-based, Survey-proof QAPI Program
The smarter ASCs create policies and procedures, train staff on how to follow them, and ask experts to review both written policies and the actions employees take to follow the organization’s policies.
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Quality of Care and the Role of the Case Manager
Today’s competitive healthcare environment demands constant attention to improvements in quality, safety, and the patient’s experience with care.
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CMS Continues Emphasis on Quality, Value-based Purchasing
In the Inpatient Prospective Payment System proposed rule, CMS is asking for public input on how to ease the burdens on providers and how make the healthcare system less complex and bureaucratic.
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Designing the MOON Form and Process Was a Team Effort
When CMS announced the Medicare Outpatient Observation Notice, a multidisciplinary team at UCHC/John Dempsey Hospital in Farmington, CT, developed a form and a process that would meet the requirements of both the state of Connecticut and CMS.
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Delivery of the MOON Has Spurred Objections to Outpatient Status
Some observation patients are demanding to be admitted as inpatients when they receive the Medicare Outpatient Observation Notice and understand what it means.
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A Guide to Delivering HINNs
Knowing which HINN to give to which patient and when can be a confusing process.