By TIFFANY FERGUSON, LMSW, CMAC, ACM
The Age-Friendly Hospital Rating, introduced as part of the CMS 2025 Inpatient Prospective Payment System (IPPS) Final Rule (HHS, 2024), highlights an opportunity for case managers to play a pivotal role in enhancing care for older adults.
BY GARRY CARNEAL, JD, MA
The U.S. medical system is dynamic and always evolving. Understanding the regulatory landscape is essential for case managers to optimize their patient-centered mission.
BY RONALD HIRSCH, MD, FACP, CHCQM, CHRI
Readmissions are on every hospital’s radar. Hospitals spend significant resources to address what some see as an epidemic of readmissions.
BY KRISTINE TOPPE, MPH
Accountability and case management come up in many conversations about healthcare quality. Both are broad terms that have many meanings or implications, especially when they are used together. To help CMSA Today readers make sense of what can be complex issues, let’s think about how accountability applies to case management.
BY GARRY CARNEAL, JD, MA Treating diseases of the brain is as important as treating any physical ailment or condition. Yet, the health insurance industry in the United States has never covered mental health and substance use disorders (MH/SUDs) appropriately. As a result, depression, anxiety, addiction and other mental health conditions…