Care 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.

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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 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.



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—