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Healthcare is at a turning point, with persistent challenges threatening the system's sustainability. Workforce shortages – projected to exceed 100,000 healthcare workers by 2028 – and increasing clinician burnout highlight the urgent need for a more sustainable and effective approach to care delivery. Integrated care models are emerging as a vital solution, blending advanced technologies, 
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Democrats and Republicans both want to see federal lawmakers address critical public health concerns. However, they were split on which concerns were most important.
American Institute Health Care Professionals's insight:
Preserving access, affordability are Americans’ top healthcare priorities: Gallup
Keeping healthcare affordable Please also review AIHCP's Case Management Program
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In this digital era, artificial intelligence (AI) is transforming healthcare, ushering in a new era of efficient and personalized case management. Narendra Maddukuri, a key contributor to this revolution, highlights how AI-driven innovations streamline processes, improve patient outcomes, and reshape traditional healthcare delivery approaches. Reimagining Healthcare with Predictive Analytics AI-driven case management relies heavily on […]
American Institute Health Care Professionals's insight:
Innovating Healthcare: How AI is Transforming Case Management
AI and case management Please also review AIHCP's Case Management Program
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The Population Health Management Market Growth is Driven by Rapid Adoption of Value-Based Care Models and Technologica
American Institute Health Care Professionals's insight:
Global Population Health Management Market Size to Surpass
Interesting look at population health Please also review AIHCP's Healthcare Case Management
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CCM provides hospitals and health systems with a framework for promoting better chronic disease outcomes that fit into the context of patients' lives.
American Institute Health Care Professionals's insight:
What is the chronic care model (CCM) in healthcare? | TechTarget
Good article on the chronic care model Please also review AIHCP's Case Management Training Program
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Transitional care management (TCM) visits have been shown to reduce 30-day readmissions, but it is unclear whether the decrease arises from the TCM visit itself or from clinic-level changes to meet the requirements of the TCM visits. We conducted a cross-sectional analysis using data from Northwell Health to examine the association between the type of post-discharge follow-up visits (TCM visits versus non-TCM visits based on billing) and 30-day readmission. Furthermore, we assessed whether being seen by a provider who frequently utilizes TCM visits or the TCM visit itself was associated with 30-day readmission. We included adult patients hospitalized to Medicine service and subsequent follow-up visits within two weeks of discharge between February 24, 2018, and February 24, 2020. We examined 1) post-discharge follow-up visit type (TCM visit versus non-TCM visit) and 2) provider characteristics (frequent TCM visit utilization or not). The primary outcome was unplanned hospital readmission within 30 days following hospital discharge. After propensity matching, TCM follow-up visits were associated with decreased 30-day readmissions (hazard ratio = 0.74 [0.63–0.88]) compared to non-TCM visits. Among patients with non-TCM follow-up visits, those seen by a provider who frequently used TCM visits had decreased odds (OR = 0.84 [0.71–0.99]) of 30-day readmission compared to those seen by providers who did not use TCM visits regularly. Among patients who followed up with providers who frequently use TCM visits, TCM visits were associated with decreased 30-day readmission compared to patients with non-TCM visits (OR = 0.78 [0.62–0.98]). The study has limitations, including the health system database not capturing all out-of-network follow-up visits. The reduction in 30-day readmission associated with TCM visits likely arises from both the visit itself and being seen by a provider who frequently uses TCM visits.
American Institute Health Care Professionals's insight:
Utilization of transitional care management services and 30-day readmission | PLOS ONE
Utilization of transitional care Please also review AIHCP's Case Management program
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From
nurse
Hospitals across the country are employing virtual nurses to care for patients alongside bedside nurses—here's how one virtual nurse spends her shifts and why a virtual nurse expert is encouraging all nurses to help lead the future of the virtual nursing care model.
American Institute Health Care Professionals's insight:
74% of Hospital Leaders Say Virtual Nurses Will Be Key To Future Care: A Day in the Life
Virtual nursing on the rise Please also review AIHCP's Case Management Program
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McKinsey & Company analyzed recent trends to explain how the health care industry can weather ongoing challenges, and capitalize on emerging opportunities, in a new report.
American Institute Health Care Professionals's insight:
How different sectors of the health care industry can overcome challenges in 2025. #Healthcaremanager #healthcaremanagement
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The American Journal of Managed Care provides insights into the latest news and research in managed care across multimedia platforms.
American Institute Health Care Professionals's insight:
Sharing Responsibility for Health Care Successes and Failures. For more on Healthcare management and other nursing management advice, please like and follow our page!
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A recent study found that Idiopathic generalized epilepsy has a prodromal phase marked by higher utilization of healthcare services and prescription medications at least about five years before th
American Institute Health Care Professionals's insight:
Psychiatric Comorbidities and Healthcare Utilization increase 5 years prior in Idiopathic Generalized Epilepsy: Study
Please also review AIHCP's Case Management Program
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Improved technology may be the key to moving healthcare away from a fee-for-service payment model.
American Institute Health Care Professionals's insight:
Value-based care: The health tech influence
Value based care Please also review AIHCP's Case Management Program
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Mercer’s flagship annual National Survey of Employer-Sponsored Health Plans rolled out this week, and as always there was a lot to unpack.
American Institute Health Care Professionals's insight:
Boost benefits or manage cost? Employers did both in 2024. To learn more about becoming a certified Healthcare Manager, please to go our certification program in Healthcare Management - https://aihcp.net/health-care-manager-certification/
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At CAQH Connect 2024, health care leaders discussed advancing value-based care through collaboration, data standardization, patient-centered approaches, and adaptable partnerships.
American Institute Health Care Professionals's insight:
Health Care Leaders Highlight Collaborative, Patient-Focused Strategies for Advancing Value-Based Care
Value based care Please also review AIHCP's Case Management Certification
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Erica S. Doubleday, MS, FNP-C, BSN, RN, illustrated the importance of consistent care to identify AEs like interstitial lung disease in patients with cancer.
American Institute Health Care Professionals's insight:
Relationships With Patients Imperative to AE Management in Cancer Care
Relationships are critical Please also review AIHCP's Healthcare Case Management Program. Please click here
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A CNA unknowingly worked while infectious with mpox, exposing 56 residents. Yet, no secondary infections occurred, highlighting the power of standard precautions in healthcare settings.
American Institute Health Care Professionals's insight:
Mpox Exposure in Long-Term Care: A Case Study in Infection Prevention Success
Reducing infection Please also review AIHCP's Case Management Certification. Please click here
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High-quality data drives efficiency, can help improve costs and outcomes, and fosters innovation in the evolving healthcare landscape.
American Institute Health Care Professionals's insight:
The cost-benefit of data quality and strategy in healthcare | Wolters Kluwer
Being cost benefit Please also review AIHCP's Case Management program
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Roadmap Not all claims follow a straightforward path in workers' compensation. Some cases are inherently more complex, requiring additional attention, resources, and strategy to achieve successful outcomes. These high-risk claims—characterized by prolonged recovery times, potential litigation, or unusual circumstances—demand a proactive and vigilant approach from employers. This article examines the red flags that may indicate | WorkersCompensation.com
American Institute Health Care Professionals's insight:
Recognizing Red Flags and Managing High-Risk Claims: Strategies for Complex Cases - WorkersCompensation.com
Recognizing red flags Please also review AIHCP's Case Management Certification by accessing here
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As we wrap up another year and get ready for 2025 to begin, it is once again time for everyone's favorite annual tradition of Health IT Predictions! We reached out to our incredible Healthcare IT Today Community to get their insights on what will happen in the coming year and boy did they deliver. We
American Institute Health Care Professionals's insight:
Healthcare Revenue Cycle Management – 2025 Health IT Predictions | Healthcare IT Today
Good look at revenue cycle management Please also review AIHCP's Case Management program
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As we wrap up another year and get ready for 2025 to begin, it is once again time for everyone's favorite annual tradition of Health IT Predictions! We reached out to our incredible Healthcare IT Today Community to get their insights on what will happen in the coming year and boy did they deliver. We
American Institute Health Care Professionals's insight:
Mental Health and Chronic Condition Care – 2025 Health IT Predictions | Healthcare IT Today
Managing chronic care Please also review AIHCP's Case Management program
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The murder of a health care insurance executive has brought scrutiny to the ways that insurance companies can make it difficult for insured patients to get the care they need.
American Institute Health Care Professionals's insight:
5 of the most frustrating health insurer tactics and why they exist. Are you in the healthcare management field? What are some of the annoying things healthcare insurers do to Healthcare Managers?
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The crucial decision of which ACO to join requires careful consideration of various factors.
American Institute Health Care Professionals's insight:
Navigating the ACO landscape: A guide for providers striving for value-based care
Value based care Please also review AIHCP's Case Management Program
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As patient expectations shift toward an expectation of on-demand health care, urgent care centers must adapt their revenue cycle processes to stay competitive and ensure financial stability.
American Institute Health Care Professionals's insight:
Navigating payer relationships to boost urgent care revenue
Revenue issues Please also review AIHCP's Case Management Program
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Integrated health systems that provide care and insurance coverage are pursuing solutions to better blend both sides, looking to lower costs and improve services.
American Institute Health Care Professionals's insight:
Achieving Value-Based Care Through the Payvider Model | HealthTech Magazine
Achieving better value based care Please also review AIHCP's Case Management Program
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On November 1, the Centers for Medicare & Medicaid Services (CMS) filed its Medicare Physician Fee Schedule (PFS) final rule (Final Rule) fo
American Institute Health Care Professionals's insight:
CMS Bolsters Primary Care with Advanced Primary Care Management Coverage | Bass, Berry & Sims PLC - JDSupra. For the more information on case management and care management advice, please like and follow our page!
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Kamal Sharma, Project Manager at OmniMD The integration of Electronic Health Records (EHR) systems within healthcare organizations has revolutionized patient engagement. With the rise of healthcare IT solutions, EHR-driven communication tools such as patient portals,
American Institute Health Care Professionals's insight:
Improving Patient Engagement Through EHR-Driven Communication Tools -
Improving patient engagement Please also review AIHCP's Case Management Program
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Reimagining Nursing: The Path to a More Resilient Healthcare System - Daily Nurse
A stronger health system
Please also review AIHCP'S case management courses