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Multipronged Initiative Cuts Readmission Rate
Lee Health, a four-hospital health system in southwest Florida, takes a multipronged approach to reducing readmission for patients with chronic conditions.
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Case Managers in All Settings Work Together in a Health Home Program
Case managers across the continuum work closely to coordinate care in New York state’s health homes, aimed at improving care for high-cost Medicaid beneficiaries.
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Communication Is Key to Good Patient Outcomes
Communication is one of the biggest shortcomings of today’s health system — and it’s getting worse, experts say.
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There Are Care Coordinators Everywhere, but Who Is in Charge?
New jobs with titles like care manager, care coordinator, navigator, patient progression nurse, and transition coordinator are popping up in various settings including hospitals, home health agencies, post-acute facilities, insurance companies, or community organizations.
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Case Management Roles Must Evolve to Meet Future Needs
As the healthcare system undergoes tremendous changes and payers shift to reimbursement based on quality, case managers need to develop skills that go beyond day-to-day care coordination and getting patients ready for discharge.
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Hospital and Physician Prevail on Medical Negligence/Wrongful Death Appeal
A California court of appeals recently upheld a motion for summary judgment in a case involving the death of a child during birth.
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Failure to Monitor Medication During Birth Leads to $14.5 Million Verdict
A family brought suit against a hospital and physician, alleging that lack of monitoring of Pitocin during labor led to a baby's brain damage.
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$18 Million to Settle Kickback Claims of Loans for Referrals
Indiana University Health, and HealthNet, an IU Health affiliate that serves low-income patients, have agreed to pay $18 million to resolve claims they engaged in a kickback scheme that involved IU Health paying for the referral of OB/GYN patients to IU Health’s Methodist Hospital.
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Health System Included PHI in Press Release, OCR Says
Memorial Hermann Health System in Houston has agreed to pay $2.4 million to the U.S. Department of Health and Human Services and adopt a comprehensive corrective action plan to settle potential HIPAA violations related to claims it included a patient’s protected health information in a press release.
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Risk Management Emerging as Credit Strength
Nonprofit hospitals are focused on risk management as a crucial variable in financial analyses and an increasingly important credit strength, Moody’s Investors Service says in a new report.