As an observer of trends in healthcare delivery, “value-based care” has represented a ubiquitous theme of the 2000s. While on-going debate exists regarding the cost savings and quality improvement actually realized by value-based care initiatives like CMS’ variety of episode-based bundled payment programs, it is clear... Read More
by Justine Olsen in Value-Based Care, blog, Transitions of Care, Performance Improvement
Of all the industries in which technology plays an important role, healthcare is arguably one of the most crucial. In healthcare, technology can help solve staffing issues, improve efficiencies, enhance the relationship between medical professionals and patients and, ultimately, provide more effective healthcare... Read More
by Ensocare in blog, Care Management
Last week, Ensocare team members had an opportunity to see how all the pieces of the Ensocare ecosystem work in concert to improve care coordination for hospitals moving patients between care settings. Read More
by Marc Costanzo in Healthcare IT, Ensocare Transition, blog
On November 29, 2019, the Centers for Medicare and Medicaid Services will finalize a rule meant to ensure appropriate data is provided to patients and their families when they’re making their decision about a post-acute care (PAC) provider. Read More
by Karen Underwood in Post-acute Care, Patient Discharge, blog
In 2019, Leavitt Partners released a White Paper with a title that should be eye-opening to any caregiver: “No Evidence That ACO-Affiliated Hospitals Are Narrowing Their PAC Networks” That’s not good, guys! The whole point of the narrow post-acute care (PAC) network is to identify, based on data, post-acute facilities... Read More
by Mary Kay Thalken, RN, MBA in Post-acute Care, Narrow Networks, blog
Last week, I had the opportunity to travel to Kansas City for the annual Cerner Health Conference, which brings together health IT experts, case managers, hospital executives and plenty of other healthcare leaders to learn about the latest advances in the Cerner EHR environment. I relish this chance to talk to... Read More
Originally posted on Forbes Technology Council (view original). As healthcare has evolved, the logistics surrounding patient care have gotten exponentially more complicated. That’s partially because, thanks to the evolution of payment schedules that penalize providers if their patients are readmitted 30, 60 or even 90... Read More
The Centers for Medicare and Medicaid Services (CMS) released their long-awaited final rule for hospitals that fall under certain payment models in Fiscal Year 2020, and it’s a doozy. Released at the beginning of August 2019, there’s a lot of information to sort through, and CMS has been kind enough to issue a summary... Read More
by Mary Kay Thalken, RN, MBA in Value-based payment models, Reducing Readmissions, blog, reimbursement
To understand how their organization enrolls and conducts outreach to patients entering a care management program, care coordinators often find themselves questioning procedures: What is our process to enroll our patients? How do I get them activated in their care? How do I persuade them to willingly work with us?... Read More
The following is Part 4 in a series of blogs from the Advisory Board's Tomi Ogundimu. You can read Part 3 here and Part 5 here. Typically, a healthcare organization’s rationale for stratifying the distinct segments of its patient population is closely associated with its modern care management model’s patient... Read More
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