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Resources to Drive Performance and Profitability:

Clinical

The Remington Report provides insights on clinical management.

  • Insights, Drivers and Constraints of Community-Based Primary Care Practices

    By: Gary Swartz, JD, MPA

    Changes are ahead for community-based primary care. Care management is a key component of policy development, future legislation and new regulations. How is this changing the future healthcare delivery system?

  • Post-Acute Costs By Care Settings For The Dual Eligible: Eight Things to Know

    A study in Health Affairs found that after adjustment for comorbidities, dually enrolled beneficiaries had 4.3 percent higher spending, which was primarily driven by higher costs in the post-acute setting associated with use of institutional post-acute care.

  • Care Coordination High Priority For Bundled Payment Models

    The Centers for Medicare & Medicaid Services recently proposed a new payment model that would bundle payment to acute care hospitals for heart attack and cardiac bypass surgery services. In 2014, more than 200,000 Medicare beneficiaries were hospitalized for heart attack treatment or

  • Medicare Population Characteristics

    In 2011, two-thirds of beneficiaries (66%) had three or more chronic conditions, more than one quarter of all beneficiaries (27%) reported being in fair or poor health, and just over 3 in 10 (31%) had a cognitive or mental impairment. (Figure1).

    Nearly one in six beneficiaries (17%)

  • Montefiore Health System’s Care Management Program

    Located in the Bronx and Hudson Valley, New York, Montefiore Health System (MHS) serves one of the poorest and most disproportionately disease-burdened counties in the nation with nearly 80% of the payer mix from Medicare and Medicaid.

    The integrated delivery system includes 10

  • Nine Building Blocks of Care Management

    Successful care coordination programs employ a variety of tools to improve quality of care and reduce costs. To be effective, these programs must be flexible in design, implementation, and evaluation, rely on robust data sharing, incorporate patient engagement, and adapt to local needs.

  • Medicare Data: Most Common Chronic Conditions For Medicare Patients

    Two-thirds of traditional Medicare beneficiaries older than 65 have multiple chronic conditions, according to a USA TODAY analysis of county-level Medicare data.

    More than 4 million – about 15% – have at least six long-term ailments. Those sickest seniors account for more than 41% of

 

MayJune 2019 Cover for website posting
Special Report
Positioning Home Care Companies
As Chronic Care Management Partners

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