News & Analysis

September 28, 2022
Case Management Monthly

Follow the cases of a patient known for refusing discharge and a patient who files a discharge appeal.

September 28, 2022
Case Management Monthly

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.

September 21, 2022
Case Management Monthly

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.

September 14, 2022
Case Management Monthly

CMS issued the final rules for the 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) on August 1 and, like the proposed 2023 OPPS proposed rule, there aren’t any big surprises this year.

September 7, 2022
Case Management Monthly

The 2023 OPPS proposed rule is out, and it includes some minor changes to the inpatient-only list and a proposal for a new type of hospital. CMS will now host a public comment period through September 13 before finalizing the rule in early November.

August 31, 2022
Case Management Monthly

Follow the case of a patient who is frequently readmitted for acute exacerbations of multiple sclerosis and a stage 4 pressure injury.

Pages