Home Health Care

AUGUST 19, 2021

There were many seniors who would not want to go into a nursing home because nursing homes were hit so hard with COVID-19. We were able to say, “Okay, what is the next phase post-COVID around these trends with care in the home?” We can identify these patients because we have clinicians in the nursing home.

Care Transition 89

Care Transition Nursing Hospitals Primary Care 89

Healthcare Leadership

APRIL 24, 2023

Over the past decade we have seen more and more specialization and levels of care introduced. We now have telehealth visits, retail clinics, direct-primary-care, and more. More fragmentation = more transitions. More transitions = more issues. Naylor M, Keating SA. Kansagara D, Chan B, Harmon D, Englander, H.

Care Transition 52

Care Transition Nursing Primary Care General Practice 52

NASHP

NOVEMBER 17, 2023

They are consequently significantly overrepresented in institutions, such as nursing facilities. They are also less likely to be employed or have a stable home , adequate medical care , and informal supports in the community. They live shorter lives and develop chronic health conditions earlier in life than other Americans.

Medicaid 62

Medicaid Nursing Primary Care Hospitals 62

Home Health Care

SEPTEMBER 3, 2021

All of these capabilities support better care transitions, which Fischer calls “one of the biggest gaps in health care.”. Upon discharge of a patient, their primary care physician will get a CCD that can be 300-to-500 pages of details no one is interested in,” Fischer says. “We

Primary Care 80

Primary Care Care Transition Hospitals Nursing 80

NASHP

DECEMBER 10, 2021

PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program. MassHealth ACOs, which are part of their managed care delivery system, serve about 1 million MassHealth members.

Medicaid 120

Medicaid Primary Care Prevention Nursing 120

NASHP

NOVEMBER 29, 2021

Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program. The PCCM program incentivizes primary care providers to incorporate CHWs into their care coordination model by offering a higher per-member per-month (PMPM) case management payment.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

Cloud Blogs

AUGUST 2, 2023

Enhance health team coordination and collaboration Care coordination is a complex process involving multiple stakeholders, including primary care physicians, specialists, nurses, and allied healthcare professionals.

Quality of Care 95

Quality of Care Healthcare Care Transition Integration 95