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Atrius Health, an alliance of six multispecialty medical groups and one home health and hospice agency, has teamed up with two health plans to jointly coordinate care for patients who are eligible for both Medicare and Medicaid benefits.
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Most readmission efforts are focused on patient education and engagement during and after discharge, says Paul Shorrosh, founder and CEO of AccuReg Patient Access Solutions in Mobile, AL.
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While the beginning stages of the effort may not have been pretty, Washington states coordinated program to tamp down costs related to high ED utilization by Medicaid recipients has not only exceeded expectations in terms of cost savings, now emergency medicine professionals are eager to apply the partnerships formed as part of the approach to other health care problems.
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Even if the patient standing in front of you obtained coverage on the Health Insurance Exchange Marketplace, the claim still could end up being denied.
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Weekly extended stay rounds help move along patients who have issues and barriers to a timely discharge, experts say.
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It seems that every year case managers are asked to take on more and more roles and functions. Every time a new rule or regulation comes out from the Centers for Medicare & Medicaid Services (CMS), administrators turn to case management as the group to take the new problem or task on. This translates to more work!
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Multidisciplinary rounds are a good way to improve throughput, reduce length of stay and readmissions, and improve patient satisfaction, experts say.
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Patient access leaders at The University of Texas M.D. Anderson Cancer Center in Houston created a visual tool in 2013 to help staff to determine the correct payer.
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Multidisciplinary rounds can be an invaluable tool for the hospital team, but only if they are well-organized and focused, experts say.
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When patients are being discharged from University of Utah Health Care, they receive a one-page handout that supplements the written discharge instructions and gives patients, in an easy-to-read format, all the information they need when they get home.