CMS recently released an interim final rule called Requirements Related to Surprise Billing; Part II, which builds on the No Surprises Act. It aims to prevent patients from shouldering the financial burden related to unexpected out-of-network costs.
A case manager learns that a soon-to-be discharged patient’s electricity has been turned off for nonpayment and makes arrangements to have the bill paid and power restored. While this is clearly important to the patient’s health, it is also an example of how case managers may be unintentionally violating the law.
Interventions to reduce length of stay for high-risk, medically complex, and otherwise vulnerable patients are falling short, according to a technical brief prepared for the Agency for Healthcare Research and Quality.
Nearly two years into the COVID-19 pandemic, case management departments and the case manager's role have been significantly altered due to the public's extraordinary healthcare needs and other changes, leading to increasingly demanding work levels.