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  • Artificial Intelligence Could Help Case Managers Improve Efficiency and Outcomes

    Artificial intelligence is poised to take over the fields of media and marketing, banking, legal services, and programming. It also is used in the healthcare field, including case management. That poses the question: Will artificial intelligence replace case managers?

  • Working with Private Care Management Professionals to Help Aging Patients

    While inflation continues to be a part of the economic landscape of 2024, aging healthcare consumers and their families are considering their options for managing care. With that, private care management, paid for by the consumer, is becoming more popular. These private care management professionals work with clients and their families to design a care plan to carry them through the various stages of aging.


  • Navigating Elder Care and Long-Term Care

    Elder care in the United States is increasingly a “major source of moral distress in the hospital case management and social work world,” according to Lisa Bednarz, LCSW, CMAC, ACM-SW, ASW-G, regional director of case management for Robert Wood Johnson Barnabas Health.

  • Preventive Care During an Emergency Requires Effective Care Coordination

    The COVID-19 pandemic disrupted standard health system practices in a way that allowed healthcare researchers and professionals to learn how to improve their preparedness for emergencies and disasters. Case management leaders and others in health systems need to think about their workflow and how it was disrupted during the early months of the pandemic, as well as later in the crisis.

  • Social Needs Data Are Useful, but Consistent Collection Needed

    Case managers and researchers need data that can be used to improve care coordination and prevent hospitalizations and ED visits. But the challenge is deciding which patient data are useful and which are not.

  • Novel Method Proposed to Optimize Care Coordination

    Healthcare organizations need new methods to improve care coordination and patient-centered care. A co-author of a recent study proposes a method to determine whether a patient needs primary care or specialty care, naming the categories as “lifer” and “destination.”

  • More Efficient Social Care Programs Could Improve Screening and Tailor Solutions

    Researchers are finding that Accountable Health Communities need greater flexibility in activities geared toward improving patients’ health-related social risks. The Centers for Medicare & Medicaid Services adopted quality metrics for health systems, requiring them to screen for health-related social risks. The authors of a new study found that the model does not allow for the flexibility needed to ensure hospitals sustain the adoption of AHC activities.

  • The Benefits and Challenges of Telemedicine for Mental Health

    It is well-known that telehealth provided a much-needed service in 2020 and following, especially as people desired to stay in their homes while addressing health concerns. The same is true for mental healthcare. However, did the increase in tele-mental health visits translate into a higher quality of care?

  • Making Sense of the CMS Discharge Planning Rule

    Working to maintain compliance with Centers for Medicare & Medicaid Services rules is a challenge. But when the messaging seems confusing or inconsistent, the task is that much more difficult.

  • Undiagnosed Diseases Are Common Among Young Trauma Patients

    There is a largely untapped opportunity for health systems to identify young adults with chronic diseases before they end up hospitalized for their illness. Trauma, such as car crashes, falls, assaults, and gunshot wounds, can be the entry point to the healthcare system, according to researchers.