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Preventing Unnecessary Hospital Readmissions
David May, MD, PhD, FACC, secretary of the American College of Cardiology and managing partner of Cardiovascular Specialists in Dallas, Texas, discusses transitions of care strategies that healthcare professionals should consider to help improve patient outcomes and reduce the burden of unnecessary hospital readmissions.
Dr May explains how hospital readmissions are costly in clinical and economic terms, and notes that many cardiology-related hospital readmissions are potentially preventable.
Although unanticipated issues may arise during transitions between levels of care, Dr May suggests that educating the patient and his or her family about the challenges that are likely to occur can help mitigate their need to seek further medical assistance.
Dr May discusses how scheduling doctors’ visits within the first 7 days following discharge is likely to comfort patients and lower the rate of unnecessary readmissions to hospitals or visits to more expensive sources of care.
Despite Record ACA Enrollment, Report Reveals Underinsured Americans Are in Crisis
November 21st 2024Despite significant progress in expanding health insurance coverage since the Affordable Care Act (ACA) was enacted, millions of Americans still face critical gaps in access to and affordability of health care.
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Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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Lessons Learned From Medicaid Unwinding as States Tackle Eligibility Checks
November 7th 2024Medicaid and CHIP enrollment surged from 71 million in February 2020 to 94 million by April 2023. However, with the pandemic emergency ending in May 2023, states resumed eligibility reviews, initiating a process termed “unwinding.”
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