Weekly News Roundup: August 23, 2019


Care Management

Six Need-to-Know Guidelines for Successful Care Management

Care managers wear many hats-from patient advocate to care-team collaborator, care-plan creator, and patient and family educator. With this dynamic, diverse job, there is no such thing as a “typical” day. As each day changes by the minute, care managers have to be as agile as the ever-changing human beings they care for. Read More

The Three Must-Haves of an Effective Care Management System

Care management is the range of activities intended to improve patient care and reduce the need for medical services by helping patients and caregivers more effectively manage health conditions. Many healthcare organizations are just entering risk-based contracts, in which they will be held accountable for providing care to specific populations of patients while practicing good care management. Read More

SNFs Need to Stop Thinking of Themselves as Targets for Cuts and Get Creative

In a healthcare world of payment evolution and alternative reimbursement models, skilled nursing facilities have been feeling the pinch. There’s pressure to lower length of stay from both Medicare Advantage payers and accountable care organizations (ACOs). Multiple studies have found that ACOs and bundled payment models generate savings for CMS by cutting skilled nursing spending. Read More

California Achieves $345M in Cost Avoidance Through Federal Clinical Practice Initiative

In California, state leaders, healthcare organizations, and business groups have reported significant benefits from a federally funded clinical practice initiative, including $345 million in cost avoidance. Under the CMS Transforming Clinical Practice Initiative, grants totaling more than $52 million were awarded to three practice transformation networks in California over the past four years. Read More