Topic: Case Management

As the Center for Medicare and Medicaid Services (CMS) seeks to increase the cost effectiveness of healthcare, they have pushed for a switch from fee-for-service payment models to more value-based […]

As the Merit-based Incentive Payment System (MIPS) wrapped up its first year, it achieved 91% participation of eligible providers. With so many participating, interest is high in what was successful […]

The rising costs of healthcare are no less concerning today than five or even ten years ago. In 2017, the United States spent $3.2 trillion on healthcare, more than any […]

In any discussion of the skyrocketing costs of healthcare and inadequate accompanying improvements in outcomes, the importance of analyzing the social determinants of health cannot be overstated. In looking at […]

With the rise in technological advances linking the healthcare industry together to provide more accurate and efficient care, one significant proposal still being designed has the potential to be the […]

Over the last two decades the healthcare industry has made an enormous shift in the way medical records are stored and accessed. Beginning in 2009, government incentives drove healthcare providers […]

One of the pervasive challenges of care coordination is the issue of patient privacy. How much information about a patient should be available to medical and behavioral health providers? Should […]

As our world grows more interconnected, healthcare follows suit by making it easier for Medicaid organizations to work together on behalf of their beneficiaries and their own organization. Improving Accountable […]

There are few crises facing modern society as concerning as youth homelessness. According to estimates by the National Alliance to End Homelessness, some 550,000 youths and young adults—more than 50% […]

As part of their ongoing “better, smarter, healthier” approach to making our country’s healthcare system more cost-effective and efficient for both patients and providers, CMS introduced in 2016 a new […]

In the same way that superheroes all fight bad guys but go about it in different ways, population health, public health, and community health all have the goal of improving […]

Healthcare providers across the U.S. are recognizing the building need to improve care for individuals with complex medical and social needs, such as those who suffer from homelessness, mental health […]

With the passage of the Bipartisan Budget Act of 2018, suddenly social impact bonds are all the rage. And for good reason — there’s a lot to like in these […]

As part of ongoing efforts to make Medicaid more effective and less burdensome on providers, the Medicaid and CHIP Payment and Access Commission (MACPAC) recently approved a proposal requesting Congress […]

As we are examining potentially confusing terms in care coordination it might help to review some software terms as well. As even casual computer users know, software has its own […]