Details the proactive approach of Cambridge Health Alliance, a public ambulatory care and hospital system in the Boston area, to initiate goals of care conversations with high-risk patients in their respiratory clinic.
Explores opportunities for Medicare Advantage plans to provide non-medical supplemental benefits during COVID-19 — including in-home supports, meal and grocery deliveries, home modifications, and transitional supports — to help Medicare beneficiaries shelter at home.
Highlights how skilled nursing facilities are switching to the Patient Driven Payment Model — a payment system that removes therapy minutes as the basis for payment and enhances payment accuracy for services by making reimbursement dependent on a wide range of clinical characteristics.
New flexibility for Medicare Advantage program represents a major turning point in Medicare policy and an opportunity for health insurers and providers to work together in new and more productive ways.
For frail older adults with complex care needs, an inpatient hospital stay is destabilizing and often marks the beginning of a decline in functioning. For these older adults and their families, the post-hospital period is a risky, confusing, and stressful time.
The time constraints of the typical primary care practice often do not allow providers to take a comprehensive look at all of their patients’ needs. Enabling office staff to assist in this work, presents a tremendous opportunity to create patient-centered and comprehensive care plans.
Provides an overview on Special Needs Plans (SNPs), a type of Medicare Advantage plan for individuals with special needs, the types of SNPs serving different populations, and how SNPs serving institutionalized individuals are unique.
What typically happens when a clinician meets a patient with complex care needs? Co-designing care is especially important when the care is for people with complex needs. Here are some tips for co-designing complex care management.
For the past 20 years, the fundamentals of health care delivery have remained largely unchanged. Health plans rely on cost-shifting and utilization management to bend the cost curve, and doctors and hospitals accept lower prices in exchange for increased patient volumes.
Most care delivery systems don’t proactively identify and meaningfully engage or support family caregivers in visits or care plans. Jennifer Wolff, PhD, a gerontologist and health services researcher shares how complex care programs can better engage families in care for patients.