Health systems and health insurance plans spend enormous sums of money battling over how to be paid fairly — and these battles have only intensified with the growth of Medicare Advantage plans, which ...
A pediatric nurse practitioner-led outpatient clinic can manage nonemergent head injury cases, improve care, and optimize ...
Higher intensity of care management in an all-condition program addressing care coordination and care barriers was associated with increased healthcare utilization among Medicaid and Medicare patients ...
How can health systems deliver the right care, at the right cost, in the right setting, without overwhelming delivery and reimbursement systems with administrative burden? The shift from volume to ...
Nurses, patients and physicians aren’t numbers, but most workforce management programs treat them as such. By adopting a patient-focused workforce, management systems can properly pair patients and ...
This article describes the research design, survey instrument and methodology employed in a national study to assess the utilization and productivity of nurse practitioners and physician assistants ...
Like many nurses, Stacy Szucs and Kim Farr came to work in case management after long and varied careers. They have found it to be a dynamic and growing role that is changing them and their nursing ...
On this episode of Managed Care Cast, we speak with the author of a study published in the November 2024 issue of The American Journal of Managed Care® to explore the link between utilization ...
WINTERVILLE, N.C.--(BUSINESS WIRE)--NantHealth, Inc. (NASDAQ-GS: NH), proudly announces that its Utilization Management Program has earned a 3-year reaccreditation from the National Committee for ...
IBM's Watson, the Jeopardy!-playing supercomputer that scored one for Team Robot Overlord two years ago, just put out its shingle as a doctor or, more specifically, as a combination lung cancer ...
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