Impact of a Scalable Care Transitions Program for Readmission Avoidance
The 30-day readmission risk was reduced 25% by a collaborative program model employing discharge planning and telephonic follow-up for high-risk patients with CMS penalty diagnoses.
Impact of Predictive Model-Directed End-of-Life Counseling for Medicare Beneficiaries
A telephonic counseling program, directed by a predictive model, reduced end-of-life costs by 4.5% within 2 Medicare Health Support pilot programs.
