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Value-based care
The Evolution of Home Healthcare: Navigating the Patient-Driven Groupings Model (PDGM) and Value-Based Care
By PETER MISKA, RT The healthcare industry has witnessed a substantial transformation with the introduction of value-based payment models, aiming…
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Post-acute care
Skilled Nursing Facility Covered Care: A Refresher
BY PAUL BORJA, RN, MBA, DNP, EdD, PhD, PHN, CCM, ACM-RN, CMAC, CMCN, CNML, CMGT-BC, CDONA, FACDONA, FAACM, AND TERESA…
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Utilization management
Quality Connection: Leveraging Quality to Drive CM, UM & Revenue Cycle Outcomes
BY PATRICIA RESNIK, MJ, MBA, FACHE, RRT, CPHQ, CHC, CHPC Introduction Quality, case management (CM) and utilization management (UM) are…
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Case Management Practice
Driving Quality Improvement and Accreditation: The Vital Role of Care Management Programs and Care Managers
BY LAWANNA GADDY, MSN, RN Quality improvement and accreditation are crucial in the healthcare continuum within a rapidly changing industry…
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Case Management Leadership
Integrating Quality Management into Case Management: A Reflective Review
BY VIVIAN GREENWAY, PhD, MSA, BSN, RN, PAHM, CCM, & SAJINI PAUL, MSN, RN When defining quality management, one can…
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Certification
Promoting Quality Through Case Management Accreditation: 25 Years Later
BY GARRY CARNEAL, JD, MA, AND MELANIE PRINCE, EdD, MSN, BSN, RN, NE-BC, CCM, FCM, FAAN During the rise of…
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President's Message
Transitions
By Dr. Colleen Morley-Grabowski, DNP, RN, CCM, CMAC, CMCN, CMGT BC, ACM-RN, IQCI, FCM, FAACM As I transition from my…
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Association News
CASE MANAGERS: Powering the Future of Healthcare
As we begin National Case Management Week (October 13-19, 2024), it's time to honor and celebrate the heroes of healthcare—our…
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Healthcare information technology
Say “Hi” to Lily the Listening Bot: Share Some Feelings. Soon.
BY GLENN P. ALLEN, MSOD I’ve spent nearly 40 years in learning and organization development. The past five years of my…
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Health Equity
Disparities in Healthcare Why Do Inequities Persist?
BY MICHAEL NORDÉ, LICSW When receiving care from your provider, how important is informed consent? What if you learned that, statistically,…