Integrated care is a key focus of next-generation care management programs, relying on clinical, social and behavioral data to paint a complete picture of a member and pinpoint where care gaps and ...

A recent CMS report concluded that 16 million people were enrolled in both Medicare and Medicaid programs. Of those dual-eligible members, 2.55 million were living with substantial health needs ...

More hospitals are looking to adopt virtual care solutions to enhance the role of nurses and improve patient care. Take for example Englewood, Colo.-based Catholic Health Initiatives — which is part ...

The authors sought to understand the differential impact of payer-led community-based care management approaches on stakeholder-oriented outcomes for publicly insured adults with multiple chronic ...

The two San Diego-based healthcare organizations have forged a three-year deal to develop an integrated care management plan for seniors, incorporating everything from primary care to inpatient ...

Health systems must adopt continuous care management with standardized communication and leadership support to address fragmented care delivery. UC Davis Health prioritized high-risk patients and ...

The Camden Coalition's care management model has a return on investment because it reduces hospital readmissions, emergency department utilization, and overall healthcare spending. The Camden ...

For decades, chronic disease management in Medicare has been hampered by a fee-for-service payment system that rewards volume and activity rather than true clinical improvement. This model created ...

“At the confluence of the demographic shift to an aging population, increasing patient complexity and the recognition that more must be done with less in healthcare – is the patient who deserves ...