Insurance Denied Him Dialysis. So I Married Him
By Daree Allen Nieves – What one man’s ESRD journey reveals about the diabetes-to-kidney-failure pipeline, and why closing it is the defining challenge of value-based care.
Read MoreCare Coordination
Managing High-Risk Patient Pathways for Better Care Transitions
By Hamad Husainy DO FACEP – Hospitals are under increasing pressure to minimize readmissions and close costly gaps in care, particularly during the crucial post-acute care phase when patients move to skilled nursing facilities. This is the phase when patients are most vulnerable, and even small gaps in care can lead to complications and avoidable readmissions, no small consideration for hospitals.
CCM as a Glidepath into Value-based Care
By Justin Barnes – A key to improving care, cutting costs and increasing revenue is through value-based care levers providing a foundation toward more favorable payer negotiation. Let’s look at building chronic care management into value-based care.
The Role of Care Orchestration Technology in Enhancing Perioperative Care
By Cindy Gaines MSN RN – Perioperative care, which spans the time frame before, during, and after surgical procedures, consists of many vital waypoints in a patient’s medical journey. It requires a coordinated joint effort by clinicians.
Combating Social Isolation for Aging Populations with Chronic Care Management
By David Hunt – Social isolation is more than an emotional hardship – it can have chronic and quantifiable effects on overall health, especially for older adults. For adults aged 50 and older, social isolation significantly increases their risk of dementia, heart failure, and even premature death.
The CMS ADT Mandate Is Coming. Are You Ready?
By Todd Thompson BSN RN – Are you ready to share admissions, discharge and transfer (ADT) data with other providers in 2021? Sharing this information can help improve care coordination and lower readmissions, while failing to do so can put you in violation of a new CMS mandate.
Keeping Health Plan Members Informed with Education Outreach
By Dr. Gary Call – Medical experts learn more about the coronavirus every day. New protocols for testing and treatment are becoming the norm, and evolving information emerges daily about the characteristics of COVID-19 and how it presents in individuals.
Patrick Conway on Team-Based Care
By Katherine Capps – Our Oct. 9 GTMRx Executive Roundtable yielded a wealth of insights, and in the coming weeks, I’ll share with you more of what we discussed. Suffice to say we’ve reached a critical juncture in our work to advance a more personalized, team-based, comprehensive primary care model—
DirectTrust Announces Formation of a New Consensus Body for ADT Notifications
DirectTrust announced the formation of a Consensus Body with the mission of creating an Implementation Guide to leverage the Direct Standard™ to send and receive Admission, Discharge, Transfer (ADT) notifications.