Community Health in the Spotlight: Brevard Health Alliance

Federally qualified health centers (FQHCs) perform a critical function in the U.S. healthcare ecosystem by providing care to medically underserved communities and offering a affordable care for the uninsured or underinsured. One subset of FQHCs are community health...

Improving Georgia Maternal Health: A Multipronged Approach

While the high maternal mortality rate in the U.S. has been a major public health concern, it has been of particular importance in Georgia, ranked 46 out of 50 states for maternal health. The latest data shows that Georgia has a maternal mortality rate of 27.7 per...

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...

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...

Health Information Exchange (HIE) Guide for Public Health Programs

Health information exchange (HIE) plays a critical role in the drive towards interoperability in healthcare. HIE evolved as a solution to data silos that emerged among hospital and health systems and the variety of electronic health record software they implemented,...