Case Management

Review updates in the 2025 Medicare Advantage (MA) and Part D final rule that could impact case management practices.

A recent case illustrates the risks that organizations face when they fail to protect healthcare workers from violence.

Kepro recently updated its discharge appeal process, bringing with it more work and new questions for case managers.

A recent study found that social determinants of health (SDOH) can make patients less likely to receive rehabilitation services during a critical care hospital stay.

Follow the case of a patient who refuses to transfer until certain conditions are met.

Peggy Rossi, BSN, MPA, CCM, details current healthcare challenges and advises case managers on how to overcome them.

While the new social determinants of health (SDOH) reporting requirements have been welcomed by those who say that social factors are integral to hospital quality and payment metrics, they have also brought unique challenges.

Access to needed medications helps to keep people healthy and out of the hospital. However, many people are having trouble accessing those medications amid record drug shortages.

CMS recently released the 2025 Inpatient Prospective Payment System (IPPS) proposed rule, and a notable omission represents good news for case managers.

Jen, an intensive care unit case manager, coordinates care for a patient involved in a gang shootout.