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TANDEM365 is a complex medical case management program coupled with a robust community paramedicine program that offers rapid response and in-home intervention capabilities. Blending population health management with community paramedicine, the goal of TANDEM365 is to connect all providers across the healthcare continuum to effectively coordinate care and prevent gaps. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
A unified value-based incentive program for post-acute care providers is recommended with a possible 5% withhold. Med-PAC is building on their previous work of the unified prospective payment system across four post-acute settings. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Five approaches to predict high-expenditure beneficiaries among different segments of the Medicaid populations are examined. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Are home health agencies using the right quality measures to track care? What changes are HHAs making in response to the use of performance measures by CMS? This article is free to 1-Year Classic and 2-Year Premium subscribers. -
A recent study suggests health coaches could provide significant cost savings to patients and health systems, reduce patient hospitalizations and emergency department visits, improve patient health, and improve the quality of care for high-risk patient populations. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Of the 12 million Americans who qualify for both Medicare and Medicaid, 26% of hospitalizations were potentially avoidable. Total healthcare expenditures for this group exceed $300 billion a year, due in part to misaligned financial incentives between the two programs. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Capacity Coaching is a new strategy for patients living with chronic conditions. Here are key roles, tools, and core competencies. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Eighty percent of ACOs reported using home visits for some of their patients, with larger ACOs more commonly using home visits. Under alternative payment models ? including accountable care organization (ACO) contracts ? providers may have greater motivation to improve care delivery for patients with complex clinical needs because they are responsible for the patients? total cost of care. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Telehealth is predicted to be the next big investment for seniors aging in place. The number of seniors requiring additional caregiving and support due to chronic disease will increase from about 14 percent of the senior population in 2010 to 21 percent by 2050, putting the pressure on healthcare providers to improve caregiving platforms. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
The Centers for Medicare & Medicaid Innovation (CMMI) recently announced five new payment models transforming?kidney care so that patients?with chronic kidney disease have access to high quality, coordinated care. The payment models are in response to an executive order signed by President Trump on advancing kidney health. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
About two-thirds of hospital readmission costs were higher than their initial admission costs for common diagnoses in 2016, according to a Healthcare Cost and Utilization Project Statistical Brief released by the Agency for Healthcare Research and Quality. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Adam Boehler left his position as the deputy administrator and director of CMS and Medicaid Innovation (CMMI). His position at CMMI was important to home and community-based providers. His work created models to pay primary care physicians based on value, tie prices of drugs administered in a doctor's office to the amount other countries pay, and a drive to move?more people to get dialysis in their homes. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
The rate of readmissions increases in the first two days after a SNF discharge. If SNFs lower their readmission rates, providers can earn the two percent. CMS reports almost three-quarters of the providers in the country will receive a cut under VBP. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Across the board, we see from referral sources and other care providers alike that they really feel as if they’re part of the care team now instead of the end of the line where a patient goes when they get out of the hospital. Your peers share their thoughts and solutions. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
This study provides insight into the long-term care services and support needs of seniors that help shape the future. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Get insight into how ACOs are performing and related changes to their future. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Effective on January 19, 2021, new regulations related to the Stark laws expanded and underscored the ability of hospitals to require physicians to send referrals to particular providers. These new regulations also make it clear that providers can monitor and enforce requirements to direct referrals to designated providers. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Learn the association between the timing of home healthcare start of care and 30-day rehospitalization outcomes for Medicare beneficiaries following a diabetes-related hospitalization. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Interviews with two organizations share how they tackled challenges to improve medical supply management, reduce the cost of care, and improve outcomes. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Medicare Advantage beneficiaries are switching to Medicare Fee-for-Service during their last year of life according to a Government Accountability Office study. The federal government would have saved $912 million during 2016 and 2017 had fewer Medicare Advantage enrollees opted into traditional Medicare during their last year of life, the GAO estimates. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Recent research discusses the missed opportunities for discussions about end-of-life, including advance care planning, palliative care, discontinuation of disease-directed treatment, hospice care, and after-death wishes, with outpatients with advanced cancer. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
In this new normal, it’s important to understand how your referral sources work, what they are sending to you versus the competition, how to deepen relationships with these sources, and what differentiates you as a provider in the marketplace. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
The American Hospital Association is urging CMS to keep five COVID waivers and to not return to the old ways of doing things. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
This program has saved Medicare $130 million. By Remington’s Editorial Team Read the insights about home-based primary care and how they have reduced hospitalizations, readmissions, and emergency room visits. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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