Jessie, a nurse case manager, feels healthcare has changed since the beginning of the pandemic. She believes that the greatest change comes from the recent initiation of new healthcare coverage plans, primarily Medicaid managed care and Medicare Advantage.
Directors are searching for solutions to the healthcare staffing shortage. Could one of them involve changing your leadership style to boost outcome achievement?
In recent years, the Office of Inspector General (OIG) has taken aim at case managers and discharge planners who violated federal anti-kickback statutes—specifically those who took items or payments in exchange for post-acute referrals.
A physician advisor (PA) can be a powerful ally for case managers. Organizations should be certain to take full advantage of what this role can offer by structuring the position properly.
A report released last month by the American Hospital Association (AHA), called Commercial Health Plans’ Policies Compromise Patient Safety and Raise Costs, found that not only is the cost of private health insurance raising affordability issues for American consumers, but policies, such as prior authorization requirements, may increasingly be putting patients at risk and driving up hospital administrative costs.
