What is Transitional Care Management?

Transitional Care Management (TCM) is the management of patient transitions between settings of care, including the transition back home. This article outlines the key components, goals, and impact of adequate transitional care. To provide a more comprehensive answer...

The Role of Payers in Healthcare and Care Management

In the care management plan puzzle, payers in the healthcare system hold key pieces needed to complete it. In fact, they’re often the only ones who know the full picture of the services a patient is receiving. Taking the time to understand the role of payers in care...

The Benefits of Reducing Hospital Readmissions

The costs of hospital readmissions are a major topic of concern in the healthcare industry, impacting a hospital’s quality of care as well as their financial health. As value-based reimbursement models begin to replace fee-for-service, developing a strategy to reduce...

Leveraging Data to Improve SNF Transitions of Care

Hospital readmissions continue to be a significant patient-safety issue that plagues the healthcare industry. Despite the U.S. Centers for Medicare & Medicaid Services (CMS) implementation of the Hospital Readmissions Reduction Program (HRRP) in 2012, the 30-day...

Why Claims Data with ADT Alerts Is Better for Care Coordination

Claims data is created each time a patient covered by an active health insurance plan visits a healthcare provider. After the visit, the provider will submit a summary of services rendered to the patient’s payer for reimbursement, and that information forms part of...