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As the principal frontline workers in health care, nurse managers require both sophisticated management abilities and the skills to navigate complex
For years, the triad model, comprised of nurse case managers, social workers, and utilization review nurses, served as the three-legged stool supporting the model for hospital case management. Designed in the 1990s to meet regulatory and inpatient care demands, it provided a structured, role-defined approach to patient care coordination. However, as healthcare systems face mounting […]
Viewing chronic care management through a systems thinking lens can provide health leaders with tactical strategies to improve care delivery.
In healthcare, accurate and up-to-date provider information is critical for meeting patient care needs and maximizing revenue. It powers everything from provider onboarding and enrollment to patient care coordination and billing. Yet, gathering or maintaining this information is often a significant challenge, taking as long as six months or more. For example, onboarding new physicians […]
Multi-agent AI orchestration can advance cancer care management by performing tasks that enable streamlined workflows and help inform personalized treatment plans. Learn more.
The latest competent intelligence report published by WMR with the title An Increase in Demand and Opportunities for Global Offsite Medical Case Management Services Market 2025 provides a sorted image of the Offsite Medical Case Management Services industry by analysi
We look at how nurse managers are crucial in reducing staff turnover and improving healthcare, potentially saving US providers up to $700 million annually.
Multidisciplinary virtual care represents a powerful tool for maintaining and improving care quality while addressing the ongoing challenges..
Revenue cycle management is the critical, often overlooked infrastructure that enables value-based care models to succeed by ensuring providers get paid promptly and can maintain clinical stability.
Inadequate coordination of patient discharges was named among the top 10 threats to patient safety in 2025, according to a recent report from ECRI and the Institute for Safe Medication Practices. Gaps in communication, follow-up and medication management continue to put patients at risk after they leave the hospital. To strengthen discharge processes and ensure […]
By integrating AI-based tools into discharge planning, hospitals can achieve a seamless care continuum—one where ever
A study from AHA finds that patients and healthcare workers report improvements in hospital safety, care quality, and resilience.
Interview published by agendaNi Harmonious data exchange across healthcare systems should unify “disparate data” from "diagnostic systems, public health records, laboratories, pharmacies, and hospitals", whilst being verified between each party. The healthcare sector is embracing digital systems and patient portals to make appointments, store data and inform patients about their medical journeys, but there is
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Patients expect more involvement in their care. Including the patient on the care team, with shared evidence at the center, equips teams for more aligned decisions.
AI can free up 20% of nurses’ time by reducing documentation, which takes up to 60% of their shifts, helping combat burnout and improve patient care.
Momentum is building nationwide for hospital price transparency as states step up, empowering patients and employers with real cost data.
The following is a guest article by McKinley Glover, IV, MD, MHS, Vice President, Clinical Decision Support at Optum Insight After spending nearly 20 years in healthcare, I've seen firsthand the surge in clinician burnout, driven by workforce shortages and administrative tasks. By 2037, the United States is projected to experience a shortage of 124,000
We aim to reveal the value and potential benefits of case management in elderly patients with COPD, providing a useful reference for clinicians and patients
The following is a guest article by Ananth Pudukkottai, Senior Vice President, Head of Client Services and US Operations at Access Healthcare In the rapidly evolving healthcare landscape, revenue cycle management (RCM) stands as one of the most crucial pillars of operational success. As healthcare organizations face mounting financial pressures, navigating the impact of rising
A longitudinal, relationship-based case management approach significantly reduced health care costs and improved quality of life for Medicaid enrollees with complex needs over 1 year.
Among new and emerging technologies, AI holds the promise of transforming how we approach and manage cases. As government operations continue to evolve with increasing demands for digital transformation, the role of case management systems has expanded to include integration with new emerging technologies, making them more agile, intelligent, and capable of automating complex tasks. …
A new work plan is necessary to enable the shift to value-based care, through the better use and sharing of patient data.
Employers have a role to play in lowering the cost of healthcare and improving quality.
Increased access to behavioral health care was associated with significant cost reductions, suggesting a financially viable buyer strategy.
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Why Leadership Skills Are Essential For People in Nursing
Leadership and management in healthcare
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