Browsing: regulatory issues

Healthcare information technology
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Exploring the Existence, Challenges and Potential for Artificial Intelligence in Case Management

BY TIFFANY FERGUSON, LMSW, CMAC, ACM, AND GARRY CARNEAL, JD, MA
In the realm of case management, where the efficient assessment and coordination of care for high-risk and complex patients are paramount, the desire for improved technology efficiency has emerged as a solution to promote better clinical and business outcomes. This includes implementing more effective population health interventions without increasing the number of staff.

Value-based care
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The Journey of Value-Based Purchasing: Opportunities and Challenges

BY GARRY CARNEAL, JD, MA

Over the past decade, many healthcare payers have sponsored “value-based purchasing” initiatives that directly or indirectly impacted case management programs. Value-based purchasing (VBP) programs are designed and implemented by government agencies, employer groups and others to promote both quality and value.