For case managers, some of the most challenging patients are those with multiple chronic conditions, and ensuring effective care and preventing avoidable readmissions requires coordination, communication, and consistent follow-up.
The latest Biennial Health Insurance Survey released by the Commonwealth Fund, a private foundation that aims to promote a high-performing healthcare system, finds that a growing number of Americans are struggling with insurance-related problems.
The disappearing MLN Matters® on total knee arthroplasty is back. CMS reissued it on January 24 with fixes to some—but not all—of the problems in the initial version.
Case managers often run into questions when performing their daily duties. Sometimes they’re related to best practice, and other times they’re related to regulatory issues.
A case manager at a community hospital has a cancer patient who comes to the emergency department and requires hospitalization. The patient wants to transfer to the hospital where she goes for chemotherapy treatments, but due to busy flu season, that hospital has no beds.
